Jobs · OTHR

Contracts and Payor Credentialing Specialist

Sevita · Minneapolis, MN · 2 wk ago
RemoteRemoteOTHRFull-time
NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. Contracts and Payor Specialist - Remote The Contracts and Payor Specialist is responsible for identifying and securing public and private insurance contracts; reviews and organizes existing contracts. Assists with the development of potential relationships with strategic partners and creates measurable business results for various markets. Responsible for credentialing of licensed clinicians. Contracting and Credentialing Works in partnership with Program Directors and Director of Contracts and Payor Engagement to ensure consistency and secure public and private insurance contractsAnalyzes and monitors financial aspects of existing contracts and maintains original documentation of all contractsCompletes contract related credentialing and enrollment application requirementsIdentifies, contacts, and creates relationships with potential payors that result in new contracts and increased funding possibilities for program participantsConducts rate and contract negotiationsDescribes Client programs to potential contract sourcesCommunicates with state directors, and state operating/marketing staff regarding contract specifics. Ensures commitments to participants, family, referral sources and payors are metMaintains database of licenses, accreditation forms, financial and organizational information for the purpose of efficient and timely enrollment applicationOversees Single Case Agreement process within the Admissions Teams. May take lead in difficult single case negotiation Other Duties Communicates contract executions and requirements to all internal departmentsFacilitates resolution of contract related issues with billing and collections teamPerforms other related duties, projects, and activities as required Qualifications Bachelor’s degree in Rehabilitation Administration, Business Administration or related field preferredThree to five years’ experience with contracts, managed care, and health insurance related industry preferredPrior credentialing experience a mustA reliable, responsible attitude and a compassionate approachA commitment to quality in everything you doExperience with CAQH a plus Why Join Us? Full time positionFull compensation/benefits package for employees working 32+ hours/week401(k) with company matchPaid time off and holiday payRewarding work, impacting the lives of those you serve, working alongside a great team of coworkersEnjoy job security with nationwide career development and advancement opportunities We have meaningful work for you – come join our team – Apply Today! Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.

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