DescriptionJob Overview:The Contracting & Credentialing Coordinator, under the direct supervision of the Billing Manager, under the Director of Finance & Billing, is responsible for coordinating provider and facility licensing, credentialing, and contracting across all applicable regions and health plans. The Contracting & Credentialing Coordinator will work cooperatively with many teams including AUC Leadership, HR, Recruiting, Providers, Operations, Billing, and the Owners, to ensure timely and accurate contracting and credentialing to meet staffing and facility needs in a rapidly growing organization.Essential Responsibilities:Assist with provider and facility licensing, credentialing, and contracting necessary to ensure claims are paid and cash flow is not disruptedMaintain tracking databases of required provider and facility licenses, certifications, contract statuses, and credentials; in addition, review and update this critical data and the associated documents on an ongoing basis to ensure compliance.Maintain AUC’s provider roster to meet organizational goals and staffing needs.Proactively monitor provider licensing to ensure compliance with payers, which includes reviewing practitioner licenses, DEA licenses, and ACLS certifications. Monitor and communicate provider and plan statuses to all stakeholders, including AUC Leadership.Provide contracting and credentialing support to various departments, teams, and individuals within the organization as needed to fulfill business needs.Partner with various health plan representatives to promptly follow up and execute provider and plan approval dates.Work with the Billing Manager to track executed health plan agreements, to ensure claims are billed correctly per the executed agreement.Work with the Billing Manager to ensure new health plan contracts and their associated effective dates are communicated to the appropriate Operations Managers for staff notification and education purposes.Communicate the roster of new providers as they are onboarded to the Billing Team, to ensure claim reimbursements are maximized.Coordinate new provider credentialing which includes sending welcome emails to new providers, in addition be of assistance for any questions or concerns they may have. Under guidance of AUC Leadership, trouble shoot barriers quickly to avoid delays in receiving credentialing approvals.Submit professional liability applications to our broker representative and follow up frequently on approval statuses.Under guidance of AUC Leadership, coordinate and maintain the Supervising Physician matrix along with the associated collaborative agreements, to remain in compliance with the Medical Board and health plan requirements.As needed, work with the Billing Manager to submit Letters of Intent to health plans or medical groups that we are not yet contracted with; educate and build relationships with health plan groups to help expedite the contracting process.Minimum Requirements | Qualifications:2+ years of experience working with various plan types such as Medi-Cal, Medicare, HMO, PPO, etc., preferably in an urgent care setting.High school diploma or equivalent.Position Type: Full-time, ExemptPosition Hours: Monday through Friday, 8am-5pmJob Type: Full-timeBenefits: Medical, Dental, Vision, Life and PTO + Stocked Coffee BarAdditional Skills & QualificationsExperience working within an Urgent Care settingExperience LevelEntry LevelPay and BenefitsThe pay range for this position is $22.00 - $25.00/hr.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Bakersfield,CA.Application DeadlineThis position is anticipated to close on Feb 14, 2025.About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
