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Specialist-Network Facility Contracting and Credentialing

Job ID: 22373
Job Category: Administrative Non Clinical Support
Job Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Facility: BMHCC Corporate Office
Location: Memphis, TN

Summary

Assists in development, maintenance, and implementation of BHSG Professional Fee Schedule(s). Negotiates and prepares facility and ancillary contract documents as assigned and maintains BHSG facility and ancillary contract templates, including messengering to BHSG providers. Assists with operational administration of credentialing and recredentialing verification documentation for BHSG facility and ancillary providers. Executes daily tasks, based on implemented policies/procedures, to assure compliance with BHSG network standards and/or other accrediting and regulatory bodies. Strong communication skills. Excellent customer service skills. Must have good working knowledge of MicroSoft Office. Performs other duties as assigned.

Responsibilities

  • Assists with the development of BHSG Professional Fee Schedules.
  • Negotiates and prepares facility and ancillary contract documents as assigned and maintains BHSG facility and ancillary contract templates, including messengering to BHSG providers.
  • Assists with operational administration of credentialing and recredentialing verification documentation for BHSG facility and ancillary providers.
  • Reports facility and ancillary additions, revisons, and deletions to appropriate BHSG departments.
  • Maintains current knowledge of needs for network development and appropriate mix of providers with proper geographic dispersion.
  • Completes assigned goals.


Requirements, Preferences and Experience

Education

Minimum: Bachelor's degree

Experience

Preferred: 3 years of managed care or equivalent related experience.

Minimum: 2 years of managed care or equivalent related experience.

Licensure, Registration, Certification

Preferred: DRIVER'S LICENSE (CURRENT)

Minimum: DRIVER'S LICENSE (CURRENT)

Special Skills

Minimum: Microsoft office, and ACCESS database

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer:
  • Competitive salaries
  • Paid vacation/time off
  • Continuing education opportunities
  • Generous retirement plan
  • Health insurance, including dental and vision
  • Sick leave
  • Service awards
  • Free parking
  • Short-term disability
  • Life insurance
  • Health care and dependent care spending accounts
  • Education assistance/continuing education
  • Employee referral program

Job Summary:
Position: 2050 - Specialist-Administrative Services
Facility: BMHCC Corporate Office
Department: HS Payer Contracting Corporate
Category: Administrative Non Clinical Support
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area
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