Job Summary
A company is looking for a Behavioral Health Contracting Specialist.
Key Responsibilities
- Communicate with payer representatives to establish reimbursement rates and resolve contract issues
- Negotiate, initiate, and maintain payer contracts across outpatient, virtual IOP, and residential treatment
- Monitor credentialing processes and maintain compliance with regulations and contractual agreements
Required Qualifications
- 1 year experience with credentialing and contracting for behavioral health individuals and facilities
- Contracting experience with outpatient behavioral health required; residential, IOP, or PHP exposure strongly preferred
- Accreditation experience is a plus
- Experience in Mondays is a plus
- Ability to work well independently
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