Contract Services Support Specialist
Easterseals Southern California
Easterseals MORC is hiring for a Contract Services Support Specialist to help make a difference and become part of something bigger than yourself!
We are looking for Game Changers ! The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team. Benefits of Being a Superhero!- Low-cost Dental/Health/Vision insurance
- Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
- Generous 401K retirement plan
- Paid Leave Options Available
- Up to $125 bonus for taking 5 days off in a row.
- 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
- Wellness Programs
- We are a PSLF (Public Service Loan Forgiveness) Employer.
- We provide bonuses and extra incentives to reward hard work & dedication.
- Mileage reimbursement in accordance with IRS rate.
- Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
- Student loan repayment options
- Pet Insurance
- Assist in producing provider contracts including updating documents, coordinating and obtaining approvals.
- Assist in maintaining contract files including monitoring of licenses, insurance coverage, and renewal.
- Assist in quality review process for contracted entity credentialing and recredentialing.
- Assist in coordinating execution and renewals of BAA, MOUs, and miscellaneous service agreements at direction of direct supervisor.
- Assist in updating provider rates, including coordinating rate adjustments, supporting negotiations, and ensuring timely communication and documentation of changes.
- Assist in developing and analyzing provider service reports.
- Assist in entering information into EHR related to fee schedules, rate setting, and contracted provider credentials.
- Assist claims adjudication process as needed related to errors in fee schedules or rates.
- Maintain provider databases including but not limited to Salesforce, Fresh Service, and relevant EHRs.
- Verify sanctioned providers. Create various spreadsheets, charts and graphs, and develop reporting out of established databases.
- Participates in data collection for rate review with CFO and other departments as needed.
- Participate, record and produce meeting minutes, as assigned. Coordinate and schedule meetings upon request.
- Monitoring Fresh Service tickets activities to support meeting deadlines and monitoring urgent tasks to ensure timely follow-up.
- Must possess knowledge and skills acquired through completion of two (2) years of college. Contract specific work experience may substitute for this educational requirement on a year-for-year basis.
- At least two (2) years of professional experience with EHR/billing systems. Experience with Salesforce, Fresh Service, and DocuSign preferred.
- Experience and knowledge of CPT/HCPC codes and/or medical billing/coding.
- Experience and knowledge of Michigan Medicaid system including funding arrangements and services preferred.
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
Vacancy posted 3 days ago
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