Contracting Coordinator

COMPANY PROFILE:

Precision Diagnostics based in San Diego, California is a fast-growing laboratory that specializes in providing quantitative drug testing, primarily for helping physicians monitor their patients undergoing treatment for pain or substance abuse. Precision’s objective is to improve patient adherence/compliance with their prescription regimen and protect medical practices from liability.

POSITION DESCRIPTION:

The Contracting Coordinator is part of a contracting and credentialing team that is responsible for all aspects of payer contracting and credentialing for a national laboratory. The position has growth potential to develop into a supervisory role.  

RESPONSIBILITIES:

• Research potential payer contracting opportunities in each state where we are licensed.
• Initiate payer outreach and begin application/contracting process as needed.
• Draft LOI’s and proposals as requested.
• Set up EFT enrollment for new payers as needed.
• Maintains copies of all current state licenses, CLIA certificates, malpractice coverage and any other required.
• Ensures demographic information is current with health plans, agencies and other entities.
• Audits health plan directories for current and accurate provider information. Other duties as assigned.
• Complete the credentialing and re-credentialing process for each payer as needed.
• Monitor and follow up on pending applications.

EDUCATION REQUIREMENTS:

• 4-year degree strongly preferred, but not required.
• 1-2 years of previous credentialing and/or contracting experience required.
• Government contracting experience is required.