Contracts Manager

The Contracts Manager is responsible for managing the credentialing process for new and current healthcare providers, ensuring timely and accurate billing, managed care contracting and maintaining accounts receivable records. This role involves coordinating with payors, regulatory bodies, and internal teams to ensure compliance and streamline operations.

Education: High school diploma or equivalent required.

Skills/Experience:

· At least 2 years of experience in receivables management

· Experience in healthcare contracting or billing

· Excellent organizational skills with a keen eye for detail

· Strong verbal and written communication abilities

· Proficient in Microsoft Office Suite (Word, Excel, Outlook) and general office tools

· Strong time management skills with the ability to prioritize tasks effectively

· Ability to work independently as well as collaboratively within a team

· Capable of making independent decisions on a daily basis

Physical Demands:

Requires sitting and standing associated with a normal office environment. Responsibilities, skills and working conditions may change as needs evolve.

Essential Functions:

· Manage the full lifecycle of payor applications and credentialing processes for healthcare providers across multiple states.

· Credential new providers and ensure current providers are up-to-date with insurance plans, including Medicare, Medicaid, managed care plans and other payors.

· Verify provider qualifications, licenses, certifications, and other credentials, ensuring compliance with state and federal regulations.

· Maintain accurate and up-to-date records of credentialing activities, including current contracts with payors and provider information.

· Monitor and ensure timely renewal of licenses, certifications, and credentials.

· Coordinate with regulatory bodies and payors to ensure compliance with varying state requirements.

· Stay updated on changes in credentialing requirements, regulations, and industry standards across different states.

· Develop and maintain a relationship with the billing software.

· Ensure billing practices comply with all regulations and maintain and update billing and A/R policies and procedures.

· Comply with all federal and state regulations, HIPAA guidelines, and false claims laws.

· Perform additional job-related duties as assigned by the Director of Finance.

· Monitor Aging Reports and identify accounts not meeting contractual requirements.

· Assist the Billing Team with processes to ensure accounts are billed and collected in accordance with contracted terms.

· Manage the contract and credentialing process to ensure that contract rates and reimbursement are accurate and maximized.

· Serve as a liaison for surveyors and remote offices.

**This job description is not intended to be an exact list of duties and can be altered an adjusted as the Supervisor or CEO deems necessary.

Job Type: Part-time

Pay: $20,000.00 - $30,000.00 per year

Expected hours: 20 per week

Work Location: In person

Salary : $20,000 - $30,000