PAYOR CONTRACTING/CREDENTIALING MANAGER

Radiology Associates leads the Eastern Central Florida area in patient care and medical imaging. Providing our patients with the highest quality imaging services using state-of-the- art technology in a caring, comfortable, and professional setting. We understand that our employees are the key to creating an exceptional patient experience, in turn, fostering a positive and purposeful work environment.

When you become a part of Radiology Associates, you will be a part of an elite team working in a facility awarded Breast Imaging Center of Excellence by the American College of Radiology. This is a wonderful opportunity for someone looking for growth, stability, or just looking to join an exceptional team! We are dedicated to building a diverse community that recognizes employee contributions; where employees feel they are valued with a sense of belonging that appreciates different perspectives and ideas.

Thank you for your interest in pursuing a career opportunity with Radiology Associates!

As a full-time Payor Contracting & Credentialing Manager you will play a pivotal role in managing the credentialing personnel and payor contracting processes for the practice. Responsibilities will involve overseeing the timely completion of all provider/facility credentialing and coordinating the review and updates of all payor contracts.

What you'll get to do:

• Execute projects for the payor contracting team
• Ensures that all payor contracts are reviewed and updated in a timely manner
• Negotiate general terms and reimbursement fee schedule of payor contracts
• Works directly with President and CEO and proactively alerts appropriate department directors and billing company regarding contract renewals and terminations.
• Oversees accurate and up-to-date credentialing databases and maintains contracting databases.
• Manages Daytona Division physicians' professional memberships and subscriptions
• Collaborates with credentialing specialists in overseeing the credentialing process with new providers, hospitals and payors as required
• Oversees accurate and up-to-date credentialing databases and maintains contracting databases.
• Approves certain physician expenses for corporate reimbursement as required.
• Provides mentorship to credentialing specialists. Assists with orientation of staff and provides direction to department resources.
• Works effectively with multiple departments while maintaining privacy and confidentiality.

What you will need to be successful:

• Bachelor's degree and/or equivalent education/experience.
• 5+ years experience in provider credentialing and payor contracting (preferably in a large group practice setting.
• CPCS and/or CPCSM a plus
• Intermediate computer skill and navigation ability
• Excellent written and verbal communication
• Exceptional attention to detail, organizational skills, and the ability to manage multiple tasks
• Strong interpersonal skills
• Performs well under pressure with a strong sense of urgency

As an employee you will enjoy:

• Affordable Medical, Dental and Vison
• Employee Assistance Program (EAP)
• Paid Time Off
• Paid Holidays
• Paid Life and AD&D Insurance
• Travel Assist and Identity Theft Assistance
• Employee Recognition
• 401K Program
• Employee referral bonus program

We are an equal opportunity employer and comply with federal, state and local anti-discrimination laws, regulations and ordinances.

We are a Drug-Free and Tobacco-Free Workplace

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