Managed Care Coordinator

About the Role

The Specialist/Coordinator is responsible for maintaining contracting platforms internally and externally for PACS affiliated facilities. Directly supports the Managed Care Department by completing Health Plan applications, submitting credentialing documents, notifying facilities on contracts, and providing education on accessing contracts.

Responsibilities

• Maintain credentialing status of Skilled Nursing Facilities with Health Plans by submitting credentialing applications and required documentation in a timely manner.
• Maintain a shared drive that houses all facility credentials and licenses.
• Perform regular audits of certifications and update Health Plans to ensure compliance.
• Assist the Managed Care Department with the Health Plan contracting process, including credentialing, proper filing/loading of contracts, and notifying facilities.
• Register and renew facilities with SAM.gov, and maintain an intricate data record to track registration and status.
• Maintain facility profiles and documents in Credentialing Point.
• Assist with setting up MNS training with facilities for authorization and claims access.
• Coordinate with MNS on loading new or revised credentialing documents.
• Complete Health Plan Credentialing documents in Credentialing Point.
• Provide contracting support.
• Perform all other duties as assigned.

About PACS

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.

Benefits

• Health Coverage: Medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Generous paid time off and holidays to relax and recharge.
• Financial Wellness: Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage healthcare expenses effectively.
• Retirement Planning: 401(k) plan with company contributions to help build retirement savings.
• Support When You Need It: Employee Assistance Plan (EAP) providing confidential support for personal and professional challenges.