Payer Relations Clerk

CORA Physical Therapy
Boca Raton, FL Full Time
POSTED ON 5/18/2024 CLOSED ON 6/8/2024

Job Posting for Payer Relations Clerk at CORA Physical Therapy

Ignite Your Career With CORA!

As a Payer Relations Clerk, you will assist in the administrative support of the Payer Relations Department, under the guidance of the Payer Relations Manager, and are responsible for supporting all daily payer relations activities from new hires credentialing, recertification of existing employees and processes for new acquisitions, new and relocations clinics. This is a full-time position.

Who We Are

CORA Physical Therapy provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Our community is built on the passion and experience of clinicians who embrace our commitment to Treating Everyone Right.

What You’ll Love About Us

  • Competitive Pay
  • 7 paid annual holidays PTO that grows with time
  • Medical, dental, vision, disability, and life insurance
  • Retirement & savings plan
  • Leadership development programs: coaching, mentorship, and skill-building activities
  • Tuition reimbursement

What You’ll Need

  • Minimum of High School Diploma
  • Minimum of two years work experience within a health services organization
  • Proficiency in Microsoft Word, Microsoft Teams and Excel
  • High level of integrity, initiative and follow-through, with appropriate handling of confidential credentialing data

What You’ll Do

  • Responsible for all CAQH (re) attestation requests, new location entries, and updating annual professional liability insurance renewals
  • Responsible for tracking license and certification expirations for all providers to ensure timely renewals & maintains copies of current state licenses
  • Audit health plan directories for current and accurate provider information
  • Timely completion of all Quarterly payer directory reviews
  • Prepare for distribution all required monthly updates for payers
  • Responsible for password resets for various payer provider portals
  • Maintain clinic location spreadsheets by company and by state
  • Review SureCheck USA and take appropriate action on monthly compliance checks from Office of Inspector General for CMS and Medicaid exclusions
  • Assist Payer Relations Specialist with provider credentialing and re-credentialing applications as needed
  • Monitor Credentialing email address for credentialing issues and facilitates follow up with the appropriate Payer Relations Specialist
  • Assist with uploading payer contracts to shared site
  • Assist with contract status reviews and maintaining contact status tool
  • Assist with maintaining issues log for any credentialing issues with payers
  • Assist with coordinating information shared by Government Payer Relations team and Payer Relations Specialist
  • Perform any other duties as assigned by Payer Relations Manager

CORA Physical Therapy is an Equal Opportunity/Affirmative Action employer. We are committed to building a team that represents a variety of backgrounds, experiences, and perspectives.
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