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Contracting & Credentialing Relationship Manager - Full Time - Hybrid

Contracting & Credentialing Relationship Manager - Full Time - Hybrid

ExperityMachesney Park, IL, US
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Contracting & Credentialing Relationship Manager - Full Time - Hybrid

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience : from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

Experity offers the following :

  • Benefits Comprehensive coverage starts first day of employment and includes Medical, Dental / Orthodontia, and Vision.
  • Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
  • Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
  • Flexibility Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
  • Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
  • Career Development Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
  • Team Building We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
  • Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Hybrid workforce : Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.

Compensation : Budgeted between $21.50 and $26.50 dependent upon years of applicable experience.

Responsibilities :

  • Facilitate client calls related to contracting and payer enrollments.
  • Run and analyze client KPI's, providing regular reports.
  • Build approved payers in the enrollment software.
  • Create and assign contract analyst workflows upon receipt of payer contracts to review.
  • Manage client health throughout the full contracting and payer enrollment process.
  • Review and analyze client contracting and payer enrollment data within the enrollment software platform.
  • Ensure timely processing of location additions, demographic updates, and revalidations.
  • Conduct payer research to determine enrollment requirements, contract effective dates, and contract types.
  • Other duties as assigned.
  • Education and Experience :

  • Associates degree in business, healthcare administrator, related field or equivalent combination of education and experience.
  • Two years experience in healthcare contracting, payer enrollment, or a related field.
  • Strong analytical skills with the ability to interpret and report on KPI's.
  • Proficiency in enrollment software and workflow management.
  • Excellent communication skills, both verbal and written.
  • Ability to manage multiple tasks and work efficiently in a fast-paced environment.
  • Experience facilitating client calls, meetings and presentations.
  • Team Member Competencies :

  • Understands role on the team and works to achieve goals to the best of your ability.
  • Working within a team means there will be varying opinions and ideas. Active listening and thoughtfully responding to what your team member says.
  • Take responsibility for your mistakes and look for solutions. Understand how your actions impact team.
  • Provides assistance, information, or other support to others to build or maintain relationships.
  • Maintaining a positive attitude. Tackle challenges as they come, and don't let setbacks get you down.
  • Gives honest and constructive feedback to other team members.
  • When recognizing a problem, take action to solve it.
  • Demonstrates and supports the organization's core values.
  • Every team member exhibits our core values :

  • Team First
  • Lift Others Up
  • Share Openly
  • Set and Crush Goals
  • Delight the Client
  • Our urgent care solutions include :

  • Electronic Medical Records (EMR) : Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results.
  • Patient Engagement (PE) : Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment.
  • Practice Management (PM) : Software that the clinic front desk staff uses to register the patient once they arrive for their appointment.
  • Billing and Revenue Cycle Management (RCM) : Software that manages coding, billing and payer contracts for clinics so they don't have to.
  • Teleradiology : Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
  • Consulting : Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses
  • Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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    Relationship Manager • Machesney Park, IL, US

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