What are the responsibilities and job description for the Contract/Credentialing Manager position at Serenity Healthcare?
Contract/Credentialing Manager
Onsite - Fort Worth, TX
Serenity Healthcare is seeking a Contract/Credentialing Manager to join our team at our corporate office in Fort Worth, TX. This person will work closely with providers and medical office staff. You will be responsible for ensuring that our newly hired and established physicians are properly credentialed in a timely and accurate manner. You will also be responsible for negotiating, implementing, and monitoring all managed care agreements. This role is a critical position in achieving our company’s mission of helping individuals ‘Take back their life’.
Responsibilities
Process credentialing activities for all new and established providers, involving detailed review of documents and data.
Building and maintaining relationships with insurance payers to secure contracts and reimbursement rates in line with the local and national markets.
Responsible for proactively reviewing managed care contract language and negotiating language to meet agreed parameters with finance and management to reduce risk and improve operational efficiencies.
Oversee the collection of all pertinent primary source verification for all providers.
Create and maintain detailed reports of credentialing process.
Identify, analyze, and resolve discrepancies, time delays and all other issues that could adversely impact the ability to effectively credential and onboard providers.
Review applications, prepare verification letters and maintain provider enrollment database.
Frequently communicate with providers and medical office staff.
All other related duties.
Qualifications
At least 3-5 years of provider credentialing and contracting experience.
Ability to build, develop and manage key provider payer relationships.
Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
Demonstrated ability to perform tasks with a high degree of quality and accuracy.
Sense of urgency and desire to achieve top line results.
Ability to manage multiple tasks while delivering results within expected timelines.
- Associate or bachelor’s degree in healthcare or business.
Benefits
Competitive pay
Medical, Dental and Vision Insurance
Life Insurance
401k
Paid Time off
10 Major Holidays Off
At Serenity, we give our patients long-term success even when other treatments have failed. We are committed to creating the finest patient experience and ensure this by investing in our employees through cultivating a culture that is people-centric, collaborative, positive, proactive, and open to opportunity for personal and professional development.
