Diamond Healthcare - Corporate Office

  • Contracting/Credentialing Analyst

    Job ID
    2018-2663
    # of Openings
    1
    Hospital/Program
    Diamond Healthcare
    Position Category
    OTHER Professionals
  • Overview

    Diamond Healthcare in Williamsburg Virginia has a full time Contracting/Credentialing Analyst position open.

    The Contracting/Credentialing Analyst works under the supervision of the department Director.  Completes Managed Care payor contracting and provider payor credentialing duties for facilities and practitioners, in multiple state locations. Must demonstrate strong problem solving skills, high attention to detail and an aptitude for learning. 

     

    Position Overview:

    • Completes facility Managed Care payor contracting duties
    • Completes provider payor credentialing duties
    • Maintains repository of all documentation utilized to complete enrollment
    • Interprets contract language and terms and requests modifications as necessary
    • Maintains facility payor network status and rate matrix
    • Maintains payor reference documents for users
    • Responsible for Electronic Fund Transfer and Electronic Remittance Advice enrollments
    • Established knowledge of payor requirements and business lines
    • Demonstrates an understanding of payor billing processes

    Requirements/Qualifications

    Education: High School diploma

    3-5 years’ experience in Healthcare Revenue Cycle, Managed Care Contracting, or similar role preferred.

    M-F Days Full-Time

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