Contracts and Credentialing Specialist

Devereux • Phoenix, AZ

12h • Remote

About The Position

Devereux is one of the nation’s largest nonprofit organizations providing services, insight, and leadership in the evolving field of behavioral healthcare. Devereux-Arizona serves more than 4,000 individuals with emotional, behavioral, and cognitive differences each year across the state. We offer residential treatment, short-term residential treatment, a private school, community-based services, integrated care services, prevention programs, respite services and therapeutic foster care. As a Contracts & Credentialing Specialist, you will be responsible for negotiations, contract development, contract management, compliance monitoring and credentialing providers and facilities. Job duties include: developing and managing assigned agreements/contracts, cost and price analyses for contracted services, and working with Finance Leadership to ensure costs are allowable, reasonable, and necessary. This position also maintains original files (electronic) and related contract databases on all assigned agreements/contracts and participates in the ongoing preparation, updating, and implementation of contracts policies. The Contracts & Credentialing Specialist also creates, manages, and updates new Payors in the electronic health record (EHR), reviews all Payor fee schedules for any rate changes, completes required documentation to get facilities and providers credentialed with the Payors and added to the existing contracts.

Requirements

• High school diploma or equivalent required
• Must be available to attend two (2) weeks of new hire orientation (paid, Mon-Fri 8:30am-5pm)
• Must be at least 21 years of age or older (per licensing standards)
• Valid Arizona Driver's License & pass DMV 36-month history check
• Drug test within 24hrs of offer w/ negative results
• Pre-employment Physical and Job Demand Assessment
• Current AZ Fingerprint Clearance Card with no restrictions (or eligibility to obtain with no restrictions).

Nice To Haves

• Bachelor’s Degree in Finance, Healthcare Adminstration or related field preferred
• One (1) plus year of experience in healthcare revenue contracting, finance, provider relations or related experience preferred

Responsibilities

• Negotiations, contract development, contract management, compliance monitoring and credentialing providers and facilities.
• Developing and managing assigned agreements/contracts.
• Cost and price analyses for contracted services.
• Working with Finance Leadership to ensure costs are allowable, reasonable, and necessary.
• Maintaining original files (electronic) and related contract databases on all assigned agreements/contracts.
• Participating in the ongoing preparation, updating, and implementation of contracts policies.
• Creating, managing, and updating new Payors in the electronic health record (EHR).
• Reviewing all Payor fee schedules for any rate changes.
• Completing required documentation to get facilities and providers credentialed with the Payors and added to the existing contracts.

Benefits

• Paid time off (24 days per year, increase with years of service)
• Sick time (64 hours per year)
• ASCEND, career accelerator program and tuition assistance
• Retirement
• eM Life for Mental Health and Work/Life Programs
• Service Anniversary Awards
• Free access to Payactiv, a platform to get a portion of your earned wages between pay periods
• Quality Low-Cost Benefits (medical, dental, vision, pet insurance)
• 30-day benefit eligibility waiting period for new hires!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED