Contract Implementation Specialist | Colorado Springs, CO

Detailed Information

  • Location: Colorado Springs, CO

  • Company: Peak Vista Community Health Centers

care with our strong " Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and Strasburg.

Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). Compensation (Pay): $22.51 to $32.64/ hourly, based on experience. Summary of Benefits: Medical, Dental, Vision, Life, STD, LTD 403(b) Retirement with Company Match Paid Time Off Tuition Assistance Perks Rewards Employee Assistance

Program www. peakvista. org/careers/employee-benefits-guide Job Summary: The Contract Implementation Specialist supports provider and payor credentialing functions.

Essential Duties and Responsibilities include the following. Performs all processes necessary for provider credentialing and re-credentialing with payors. Maintain record of credentialing application status and provide updates regularly to Revenue Cycle Leadership. Tracks organizational agreements with payors, maintaining an electronic inventory of provider credentialing and reimbursement details. Evaluates, audits, and maintains existing agreements to include all aspects of file management (ensuring timely renewal and managing

data requests to ensure payor compliance). Stays current on contract changes, fee schedules and update staff and other departments in Peak Vista of changes.

Works with organizational leadership to support agreement implementation. Works with external parties in the resolution of payor issues due to credentialing and other contract problems. Recommends changes to payor agreements and provider credentialing processes, based on trends in Peak Vista data. Serves as the backup for the Insurance/Payor Credentialing Specialist. Carries out all duties and responsibilities in an exemplary manner in accordance with established standards of professionalism, ethics, and customer service.

Employee demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements. The employee enhances the effectiveness, efficiency, and productivity of the department by contributing to, and participating in, departmental performance improves goals. Other duties may be assigned. Supervision Exercised: None Suggested Competencies: Customer Focus - Monitors client satisfaction. Establishes partner relationships with clients. Oral Communication - Communicates well one on one. Attendance and Punctuality - Adheres to assigned schedule.

Resourcefulness - Passionately finds ways over, around, or through barriers to success. Contributes to a culture of kindness. Adheres to assigned schedules. Displays a willingness to learn. Effectively adapts to departmental and organizational changes. Contract Implementation Specialist position and job functions are a value-added service requiring commitment to Peak Vista's Core Values. Must also display strong detailed oriented skills with the proven ability to multitask. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bi-lingual (Spanish speaking) preferred. Education/Experience: Education: Associate Degree in a business or health care related field preferred. Equivalent experience acceptable in lieu of education. Work Experience: 1 year experience in health-related field required Language Ability: Must have superior communication and customer service skills Math Ability: Payment balancing experience desired.

ICD-10 and CPT-4 coding desired. Reasoning Ability: Ability to handle multiple tasks simultaneously in a timely manner, ability to communicate in person, by phone and in writing in a clear, concise and professional manner, ability to reason and prioritize responsibilities effectively and ability to resolve problems with minimal assistance. Computer Skills: Data entry skills required, expedient and accurate use of 10 key and basic computer skills required. Certificates and Licenses: None Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details. The noise level in the work environment is usually quiet. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must occasionally lift and/or move up to 50 pounds. While performing the duties of this job, the employee is frequently required to stand; walk and sit Successful candidates will complete pre-employment screening; which includes but is not limited to, a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol-free workplace and an Equal Opportunity Employer. PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee's I-9 to data from the U.

S. Department of Homeland Security and Social Security Administration Records. To learn more, visit:

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