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.
Credentialing
Job Essentials
Responsible for maintaining credentialing status of Skilled Nursing Facilities with Health Plans by submitting credentialing applications and required documentation timely.
Maintains shared drive that houses all facility credentials and licenses. Performs regular audits of certifications and updates Health Plans accordingly to ensure compliance.
Assists Managed Care Department with the Health Plan contracting process, from credentialing, proper filing/loading of contracts, and notifying facility.
Registers and renews facilities with SAM.gov, maintains an intricate data record to track registration and status.
Mns
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.
Contracting support.
All other duties as assigned.
Join PACS: Elevate Healthcare with Us
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.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of he
📌 Managed Care Coordinator (Pacs del Penedès)
🏢 Pikes Peak Post Acute
📍 Pacs del Penedès
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