-
Credentialing Coordinator
4 days ago
Insight Global Davie, United StatesMust Haves: · High School Diploma and minimum four (4) years of credentialing and/or contracting experience. · --OR-- Associate's Degree or 60 completed college credits hours and minimum two (2) years of credentialing and/or contracting experience. · Knowledge and understanding ...
-
Credentialing Coordinator
16 hours ago
Insight Global Fort Lauderdale, United StatesMust Haves: · High School Diploma and minimum four (4) years of credentialing and/or contracting experience. · --OR-- Associate's Degree or 60 completed college credits hours and minimum two (2) years of credentialing and/or contracting experience. · Knowledge and understandi ...
-
Human Resources Credentialing Coordinator
1 week ago
ScribeAmerica Fort Lauderdale, United StatesJob Description : · Job Title:HR Credentialing Coordinator · FLSA Status: Non-Exempt · Type: Full-time · Department: Human Resources · Reports To: Senior HR Credentialing Coordinator · Location: 100% Remote · The Credentialing Coordinator is responsible for all aspects of ...
-
Human Resources Credentialing Coordinator
2 weeks ago
ScribeAmerica Fort Lauderdale, United StatesJob Description: · Job Title:HR Credentialing Coordinator · FLSA Status: Non-Exempt · Type: Full-time · Department: Human Resources · Reports To: Senior HR Credentialing Coordinator · Location: 100% Remote · The Credentialing Coordinator is responsible for all aspects of ...
-
Home Health Care
1 week ago
Home Care for the 21st Century-Boynton Beach Boynton Beach, United States**_Become a part of our caring community and help us put patient first_** · **Skills & Abilities** · - Knowledge of home health care and IV therapy · - Care of peripheral and central lines · - Knowledge of Infusion therapy Modalities including infusion pumps · - Knowledge of medi ...
-
Coordinator of Administrative Services and
2 weeks ago
Florida Atlantic University Boca Raton, United StatesFor more information on everything FAU has to offer, please visit · Position Summary: · Florida Atlantic University is seeking a Coordinator of Administrative Services and Assistant to the Dean - Boca Raton, FL. · This position reports to the College Dean and is responsible for d ...
-
Broward Health North Deerfield Beach, United StatesBroward Health North · Shift: Shift 1 · FTE: · Summary: · Coordinates the care of the patients in the rehabilitation unit. Creates an effective interdisciplinary team approach to patient care. Provides clinical support in the completion of data contained in the IRF-PAI to ensure ...
-
Broward Health Medical Center Fort Lauderdale, United StatesBroward Health Medical Center · Shift: Shift 2 · FTE: · Summary: · Assumes the responsibility for the provision of spiritual care services to patient/families/caregivers through the coordination of care with spiritual counselors within the healthcare network. Maintains the plann ...
-
HR Manager
1 week ago
AMR Pompano Beach, United StatesMore Information about this Job: · **HR Manager - Pompano Beach, FL** · **Non-Remote** · Our mission of providing care to the world at a moment's notice is at the heart of everything we do. We are caregivers, first and foremost and we will be there when you need us. With more tha ...
-
Nurse Practitioner
6 days ago
Comprehensive Clinical Research West Palm Beach, United States**W**e are seeking a motivated and detail-oriented Nurse Practitioner to join our clinical trials practice as a Sub-Investigator. In this role, you will collaborate closely with the Principal Investigator and research team to conduct clinical trials focused onmany indications. Th ...
-
Director of Station Operations
1 week ago
PrimeFlight Aviation Services Inc Fort Lauderdale, United States**INTRODUCTION** · Interested in working in aviation? Are you looking for a job with stability and growth opportunities? If you are looking for a career with growth potential and work well in a fast-paced, team-oriented environment, we want to speak to you · **Perks of the job**: ...
-
Travel Physician
3 weeks ago
Aya Locums Delray Beach, FL, United StatesAya Locums has an immediate opening for a 13-week locum Gastroenterology Physician job in Delray Beach, FL paying $450/hr - $475/hr. · Job Responsibilities · Assess patients, document medical histories and address patient inquiries and concerns.Diagnose and manage injuries, ill ...
-
Billing Representative I
2 days ago
NYU Langone Florida Boynton Beach, United States Regular, Full timePosition Summary: · We have an exciting opportunity to join our team as a Billing Representative I. · Under general direction submits claims, follows-up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/precertification r ...
-
Dental Hygienist
2 weeks ago
Northwell Health Kings Point, United StatesReq Number 121874 · Assists the dentist at chair-side during routine and special procedures, coordinates and performs all special patient procedures and for the critical review of same. · Responsibilities: · Performs all duties permitted by New York State Law for a dental hygieni ...
-
part-time primary care aprn/pa
1 week ago
Mobile Physician Services Boynton Beach, FL , USA, United States Part timeMobile Physician Services is an EEO employer - M/F/Vets/Disabled · Are you passionate about expanding your medical career and helping patients live their healthiest life while aging in place in the comfort of their own homes? Mobile Physician Services is seeking a part-time lice ...
-
home health care
2 weeks ago
Home Care for the 21st Century-Boynton Beach Boynton Beach, FL, United StatesHome Care for the 21st Century-Boynton Beach - Become a part of our caring community and help us put patient first · Skills & Abilities · Knowledge of home health care and IV therapy · Care of peripheral and central lines · Knowledge of Infusion therapy Modalities including infus ...
-
Licensed Mental Health Professional
1 day ago
OptiMindHealth Boynton Beach, United StatesLicensed Mental Health Professional (LCSW/LMFT/LPC/LMHC) 48K-65K/yr · Position Requirement: Remote Full-Time and Part-time Positions Available · FLSA Status: Exempt · Location: Boynton Beach, FL · Salary: · 48K - 65K+ · Work from Home Competitive, negotiable salary Work/life ba ...
-
Dialysis Clinical Manager Registered Nurse
1 week ago
Fresenius Kidney Care Boynton Beach, United StatesDialysis Clinical Manager Registered Nurse - RN page is loaded · Dialysis Clinical Manager Registered Nurse - RN · Apply · locations · Boynton Beach, FL, USA · time type · Full time · posted on · Posted Yesterday · job requisition id · R · PURPOSE AND SCOPE: · Supports ...
-
Surgery Center Administrator
1 day ago
USPI Boynton Beach, United StatesUnited Surgical Partners International , the country's largest ASC platform is currently seeking an Administrator for The Outpatient Center of Boynton Beach . · The Outpatient Center of Boynton Beach is in Boynton Beach, FL . Our facility is accredited by the Accreditation Ass ...
-
Tenet Healthcare Corporation Boca Raton, United States Full timePosition Summary · Oversees the efficient operation of the Cardiopulmonary Service Departments & Sleep Diagnostic Center. Responsible for all aspects related to the planning, management, direction, and performance of the Cardiopulmonary & Sleep Diagnostics Departments at WBMC. Re ...
Contracting and Credentialing Coordinator - Delray Beach, United States - Staffosaurus
Description
Job Description
Job DescriptionContracting and Credentialing Coordinator
About Us
Guardian Recovery Network is a rapidly growing national substance use disorder treatment provider based in South Florida. Our mission is to restore the lives of all those suffering with substance use disorders. Long term, our aim is to lead the way in ethical standards, successful outcomes, and client-centric care. We have a caring and inviting work environment with ample opportunities for growth during our expansion.
Join us as we continue to provide unwavering dedication to our clients, compassion & care for their families and ethical & professional excellence for our staff.
Join Our Team
As a Payor Contracting and Credentialing Coordinator, you will play a pivotal role in managing the credentialing and contracting processes for both behavioral health and medical services. Your responsibilities will involve ensuring the timely completion of enrollment applications and coordinating the review and updates of all payor contracts. Additionally, you will lead the management of payer issues and keep internal leadership teams informed through detailed reporting.
Benefits
In addition to competitive pay, we offer quality health insurance, dental and vision, 401k, paid time off, and more. We believe in the growth and success of our team to support our mission of helping our clients.
Requirements
Minimum of two years of experience in behavioral healthcare credentialing and contracting.
- Exceptional attention to detail, organizational skills, and the ability to manage multiple
tasks simultaneously.
- Strong communication and interpersonal skills.
- Proficiency in Monday, Salesforce, G-Suite, and Microsoft Excel.
- Ability to work both independently and as part of a collaborative team in a fast-paced environment.
Responsibilities
Contract Oversight and Accountability: Distill key business terms from all contracts by stakeholder groups such as Admissions, Discharge Planning, and Billing. Communicate these terms effectively and hold stakeholders accountable.
Contract Renewals and Terminations: Proactively alert supervisors about all
upcoming contract renewals and terminations. Manage the renewal process and coordinate efforts to address contract terminations efficiently.
Payer Issue Resolution: Lead and manage all payer-related issues, ensuring prompt and effective resolution.
Credentialing and Contract Management: Oversee the credentialing process with new payors as required. Submit and track enrollment applications to ensure timely completion. Monitor, maintain, and coordinate reviews and updates to all payor contracts.
Data Management and Reporting: Prepare detailed credentialing and contracting reports for internal leadership. Maintain accurate and up-to-date credentialing and contracting databases.
Stakeholder Education and Collaboration: Educate billing and clinical teams on the specifics of contracts, including any terms related to value-based or alternative payment models. Collaborate with various departments to support the negotiation and execution of contracts.
Policy and Compliance: Keep abreast of policy changes, billing requirements, and payor-specific guidance, communicating relevant changes to necessary
departments while maintaining privacy and confidentiality.
Pay: $60,000 - $65,000 Annually
Schedule: Full-time
Location: Delray Beach, FL
Apply today