Contract Credentialing Rep (El Paso Health)

Job Description :

Serves as a liaison between El Paso First and the provider community with respect to issues of provider network, credentialing, contracts, with special emphasis on contract management and negotiations. Responsible for contract management and negotiations, and for the coordination and management of credentialing activities of healthcare providers.

Required Skills :

1. Excellent verbal and written communication skills.

2. Excellent skills in reading, interpreting and implementing contracts.

3. Able to read, write and speak at an intermediate grade level.

4. Great attention to detail.

5. Effective communication skills with providers.

6. Performs the basic functions of arithmetic; add, subtract, multiply and divide all units of measure. Computes ratio, rate and percent. Draws and interprets bar graphs.

7. Strong knowledge of Microsoft Excel and Word programs.

8. Bilingual, English and Spanish preferred.

Required Experience :

Work Experience

Two years of experience in managed care related field required, preferably in provider relations, credentialing, contracting, and / or behavioral health. Provider relations experience a plus.

License / Registration / Certification

Valid driver's license required.

Education and Training

High school diploma or equivalent required. Bachelor degree preferred.