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Contracting and Credentialing Specialist

Southwest Sport and Spine Center, Inc.

Contracting and Credentialing Specialist

El Paso, TX
Full Time
Paid
  • Responsibilities

    Do you have a passion for making a difference in the lives of others? Do you want to join a team with that same passion?

    Are you someone who sets and achieves goals?

    Do you want to work for a dynamic, patient care organization that is committed to the health and wellness of individuals of all ages?

    FYZICAL Therapy and Balance Centers is in search of an Contracting and Credentialing Specialist for our growing organization. Contracting and Credentialing Specialists ensure that clinicians, providers' maintain current credentials and licenses to work legally in their field or specialty. Duties:

    Review healthcare providers’ submitted requirements including licensure, certifications, screens and other critical documents using the data platform system to determine healthcare provider (HP) document status versus requirements needed for specific assignment in order to pursue outstanding requirements.

    Communicate timely updates of provider document status to facilitate a team approach to gathering all required documents.

    Create urgency with healthcare providers to encourage timely and accurate document submission by establishing target dates and monitoring document submission progress in order to deliver comprehensive documentation to the client facility for an on-time assignment start date.

    Collaborate with Contracts Credentialing Analyst to review all incoming new client contracts or contract revisions for Credentialing requirements, for assigned facilities in order to identify unique requirements.

    Negotiate with client facility to reconsider unusual or uncustomary requirements by emphasizing the value and experience of Quality Services Department with client facilities in order to minimize disruption of placements and optimize fill rate.

    Maintain up-to-date and accurate facility database including updated contact information, new requirements and client correspondence by following up regularly with client facilities in order to optimize service coverage and prevent gaps in service delivery.

    Research new requirements (by any of our contracts or client facilities) that may impact the industry in order to present proposals to leadership that clarify appropriate action plans that will address the requirements with least resources and expense.

    These specialists monitor upcoming contract renewal dates, obtain new contracts and work with clinical staff to advise them of the required steps to maintain their credentials.

    FYZICAL Therapy and Balance Centers is a leading provider of physical therapy, rehabilitation, balance and vestibular retraining, and athletic training services.

    We are a values driven, hospitality based organization seeking to provide the highest caliber of rehabilitative services possible.

    Be a part of changing people’s lives for the better.