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DaVita Medical Group logo
Company Name:
DaVita Medical Group
Approximate Salary:
Not Specified
Location:
El Segundo, California
Country:
United States
Industry:
Position type:
Experience level:
Education level:

Payor Contract Coordinator

Overview:

Responsible for the management of data entry, maintenance and reporting capabilities of the provider database and communicating DaVita Medical Group employed and contracted provider issues with payors.


Essential Functions:

  • Consistently exhibits behavior and communication skills that demonstrate DaVita Medical Group's commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
  • Assists the Payor Contract Lead in submitting face sheets to payors and addressing credentialing issues.\\
  • Communicates and interfaces with DaVita Medical Group's regions and sites regarding questions on provider participation with individual payors.
  • Gathers and consolidates provider data from a variety of internal and external sources.
  • Prints, copies and organizes all provider contract data required to be submitted to payors.
  • Assists Payor Contract Lead in various projects regarding provider participation with various product lines and/or payors.
  • Follows-up and assists the Payor Contract Lead and Director, Payor Contracting in monitoring the integrity of data in the database system.
  • Coordinates credentialing status verification of provider contracts to ensure that only credentialed providers are loaded in the contracting database.
  • Uses, protects, and discloses DaVita Medical Group patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Performs additional duties as assigned.

EDUCATION:

  • High school diploma, G.E.D. or equivalent.Includes special certification required for specific jobs.
  • Bachelor s degree preferred.

EXPERIENCE:

  • Over 1 year and up to and including 3 years of experience
  • Healthcare experience.
  • Database experience.

KNOWLEDGE, SKILLS, ABILITIES:

  • Computer literate.
  • Proficient in Microsoft applications (Word, Excel, Access).
  • Good verbal and written communication skills.
  • Detail-oriented.

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Nevada, New Mexico, Florida, Colorado and Washington in its pursuit to deliver excellent-quality health care in a dignified and compassionate manner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners) provided integrated care management for approximately 760,000 patients. DaVita Medical Group s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.


We are committed to bringing the benefits of coordinated care to our patients and to taking a leading role in the transformation of the national healthcare delivery system to assure quality, access, and affordable care for all.

If you're looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you.
DaVita Medical Group is an equal opportunity/affirmative action employer. As such, DaVita Medical Group makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.
DaVita Medical Group will consider qualified applicants who have criminal histories in a manner consistent with the law.



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