Experity

Contracting & Credentialing Manager - Full Time - Hybrid

Experity$72K — $89K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in business, healthcare management, or a related field.
  • 3+ years in a leadership role (clinic administrator, departmental manager, etc.).
  • 2+ years managing projects and developing training programs.
  • Proficient in data analysis and report interpretation.
  • Experience with resource request processes for staff and equipment.

Responsibilities

  • Oversee daily department operations.
  • Train and mentor team members, using coaching and performance feedback.
  • Track attendance, work schedules, payroll, and productivity.
  • Conduct interviews and hire new team members.
  • Prepare and analyze statistical performance reports (KPI).
  • Develop and manage standardized operating procedures.
  • Maintain effective communication with payers and internal teams.
  • Resolve issues related to payer enrollments and claims.
  • Enhance business processes for improved efficiency.
  • Elevate client relationships to trusted advisory status.
  • Manage multiple tasks and implement effective solutions.

Benefits

  • Remote work flexibility with a hybrid option.
  • Opportunities for professional development and mentorship.
  • Positive team culture promoting collaboration and communication.
  • Focus on career growth and goal setting.
Full Job Description
Compensation: Budgeted between $72,000 and $89,025 dependent upon applicable experience.

Hybrid: 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.

Responsibilities:
  • Oversee the day-to-day operations of the department.
  • Train, develop, and mentor team members by assessing needs, addressing performance and behavior strengths/weaknesses through timely use of coaching feedback, performance appraisals, and corrective action plans.
  • Accurately track team attendance, work schedules, payroll, quality assurance of work, and recording of productivity.
  • Participate in interviewing and hiring new team members.
  • Prepare statistical reports (KPI) for areas of responsibility.
  • Create, maintain, review, and enforce standardized operating procedures with team members.
  • Ability to prepare, complete, review, and interpret performance reports.
  • Foster and maintain positive, effective communication with payer representatives and internal teams.
  • Anticipate and resolve issues related to payer enrollments, payer networks, reimbursement trends, and claims issues.
  • Plan, evaluate, and improve the efficiency of business processes and procedures to enhance overall effectiveness.
  • Increase customer satisfaction by understanding business needs and elevating client relationships from vendor/partner to trusted business advisor.
  • Manage multiple tasks, analyze complex issues, and implement effective solutions.
  • Other duties as assigned.


Education and Experience:
  • Bachelor's degree in business, healthcare management or equivalent combination of education and experience.
  • Three years of experience in a leadership role such as clinic administrator, hospital departmental manager, health plan contract manager, or team lead.
  • Two years of experience managing projects, including preparation and implementation of training and educational programs.
  • Proficiency in preparing, analyzing, and interpreting data.
  • Experience in applying organizational standards when developing requests for resources, including staff and equipment.


Preferred:
  • Health Plan administration experience.
  • Legal contract experience.


Travel:
  • Ability to travel


Every team member exhibits our core values:
  • Team First
  • Lift Others Up
  • Share Openly
  • Set and Crush Goals
  • Delight the Client

About Experity

Experity is a healthcare software company based in Buffalo Grove, Illinois. The company provides a range of software solutions for urgent care clinics, including electronic medical records, practice management, and revenue cycle management. Experity's software is designed to help urgent care clinics improve patient care, increase efficiency, and reduce costs. The company was founded in 2019 through the merger of DocuTAP and Practice Velocity.
Learn more about Experity
Size
500 employees
Industry
Founded
2000

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