Summary: Assist with the contract submission process and the auditing of provider information systems (AMISYS) for consistency and best practices in Provider set up.Job Responsibilities: Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports. Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis. Support the contract submission process to ensure confirmation with Corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts. Maintain and update on a routine basis the contract organization's databases. Produce reports, as requested. Coordinate the Corporate-wide data verification process for contracted providers. Update contract organization's databases, as necessary. Interface with the credentialing staff to ensure all Health Plan data systems are congruentEducation/Experience: High school diploma or equivalent. Healthcare industry experience preferred. Auditing experience preferred.0-2 years of experience
Comments for Vendors:
EEO:
"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."