Deer Oaks Credentialing Manager in San Antonio, Texas

Overview

The Contracting Manager is responsible for contracting and managing relationship with various private and public payers, nationwide.

Deer Oaks Behavioral Health is the leading provider of geropsych services in the United States. Providing services in 27 states and growing, our credentialing team aggressively pushes to contract with a diverse group of public and private payer groups. These efforts are key to create greater access to geropsych focused behavioral health services for older adults in the communities we serve across the United States. We value our employees and recognize and reward goal achievement and hard work. We are looking for an experienced professional who understands that payer credentialing and contracting is a critical part in our mission to care for those who are in need of our services.

Responsibilities

Conduct new state expansion research to include public and private payer source information, access to panels, timelines, and payer specifics.

File online and manual paperwork with commercial insurance companies, managed care organizations, and state Medicaid systems to get our company credentialed and contracted with various plans.

Track re-credentialing deadlines and file re-credentialing paperwork, as well as any changes in credentialing (such as change of address, etc.).

Review contracts and contract amendments for fee schedules and other terms and provide feedback to executive leadership.

Manage open items and deadlines to ensure timely processing of applications and execution of contracts.

Support executive leadership and colleagues with special projects and perform other duties as assigned.

Serve on Payer Rules committee to collaboratively resolve public and private payer rule issues that are impacting Revenue Cycle Teams and the ability for the company to meet the needs of patients served by mission.

Monitor and track submissions and status changes with payers and update internal records.

Maintain and update existing records and create new records and reports.

Provide weekly reports to management on progress.

Maintain an approachable and appropriate attitude when communicating with internal and external clients and respond timely to requests, emails, voicemails, etc.

Possess eagerness and ability to work independently as well as part of a team with flexibility and willingness to learn and take initiative on variety of tasks and projects in a dynamic environment.

Support the vision and culture of the organization, and demonstrates personal commitment through active involvement in the performance improvement process.

Qualifications

Bachelor's Degree.

At least 5 years of experience in a new healthcare payer credentialing and contracting role.

Prior professional contacts and relationships with payers preferred, but not required.

Knowledge and experience with the healthcare industry.

Skill and experience in reviewing contracts.

Top-notch ability to work independently, with a high degree of self-motivation, goal achievement orientation and strong practical problem solving acumen.

A high level of accuracy and attention to detail, with strong organizational and multi-tasking skills.

Exceptional written and verbal communication, interpersonal and customer service skills.

Excellent computer skills, including but not limited to Excel, Word, and other Microsoft Office products.

Job ID: 2018-2141