NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans.
Contracts and Payor Specialist
100% Remote position – full time
50,000-55,000 salaried max
NeuroRestorative, a member of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans.
SUMMARY
The Contracts & Payor Specialist is responsible for identifying and securing public and private insurance contracts; reviews and organizes existing contracts. Assists with the development of potential relationships with strategic partners and creates measurable business results for various markets.
ESSENTIAL JOB FUNCTIONS
To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:
Contracting and Credentialing:
- Working with the Director of Contracting and fellow Contracting and Payor Engagement Specialists to ensure consistency and secure public and private insurance contracts
- Analyzes and monitors financial aspects of existing contracts and maintains original documentation of all contracts
- Identifies, contacts, and creates relationships with potential payors that result in new contracts and increased funding possibilities for program participants
- Describes services provided to potential contract sources
- Communicates with state directors, and state operating/marketing staff regarding contract specifics. Ensures commitments to participants, family, referral sources and payors are met
- Communicates contract executions and requirements to all internal departments
- Completes contract related credentialing and enrollment application requirements
- Maintains database of licenses, accreditation forms, financial and organizational information for the purpose of efficient and timely enrollment application
- Facilitates resolution of contract related issues with billing and collections team
- Performs other related duties and activities as required
Minimum Knowledge and Skills required by the Job
The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:
Education and Experience:
- Associate’s degree
- Two to three years’ experience with contracts, managed care, and health insurance related industry preferred
Physical Requirements:
• Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.
As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.
Associate degree and preferred 2–3 years of experience with contracts, managed care, and health insurance. Requires contract analysis, credentialing, enrollment, communication, and database maintenance skills.
Key Responsibilities
- securing contracts
- analyzing contracts
- resolving issues
Job Details
- Category: Business Operations
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 50,000 – 55,000 / year
- Languages: English
About Sevita
A provider of home and community-based specialized healthcare, rehabilitation, and individualized support services. — Industry: Healthcare