Job Title: Contracting & Credentialing Coordinator Job Overview: Under the supervision of the Billing Manager and the Director of Finance & Billing, the Contracting & Credentialing Coordinator is responsible for managing provider and facility licensing, credentialing, and contracting across all regions and health plans. This role requires close collaboration with various teams, including AUC Leadership, HR, Recruiting, Providers, Operations, Billing, and the Owners, to ensure timely and accurate credentialing and contracting in a rapidly growing organization. Key Responsibilities: + Assist with provider and facility licensing, credentialing, and contracting to ensure claims are paid and cash flow remains undisrupted. + Maintain and regularly update tracking databases of required provider and facility licenses, certifications, contract statuses, and credentials to ensure compliance. + Maintain AUC’s provider roster to meet organizational goals and staffing needs. + Proactively monitor provider licensing, including practitioner licenses, DEA licenses, and ACLS certifications, to ensure payer compliance. Communicate provider and plan statuses to all stakeholders, including AUC Leadership. + Provide contracting and credentialing support to various departments and teams to meet business needs. + Partner with health plan representatives to promptly follow up and execute provider and plan approval dates. + Track executed health plan agreements with the Billing Manager to ensure claims are billed correctly per the agreements. + Communicate new health plan contracts and their effective dates to Operations Managers for staff notification and education. + Notify the Billing Team of new providers to ensure claim reimbursements are maximized. + Coordinate new provider credentialing, including sending welcome emails and assisting with any questions or concerns. Troubleshoot barriers quickly under the guidance of AUC Leadership to avoid delays in credentialing approvals. + Submit professional liability applications to our broker representative and follow up on approval statuses. + Coordinate and maintain the Supervising Physician matrix and collaborative agreements to ensure compliance with the Medical Board and health plan requirements. + Submit Letters of Intent to health plans or medical groups not yet contracted with AUC, under the guidance of the Billing Manager. Build relationships with health plan groups to expedite the contracting process. Minimum Requirements: + 2+ years of experience working with various plan types such as Medi-Cal, Medicare, HMO, PPO, etc., preferably in an urgent care setting. + High school diploma or equivalent. Position Details: + Type: Full-time, Exempt + Hours: Monday through Friday, 8am-5pm + Benefits: Medical, Dental, Vision, Life, PTO, and a stocked coffee bar. Additional Skills & Qualifications: + Experience working within an Urgent Care setting. + Entry-Level Experience. Pay and Benefits The pay range for this position is $22.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Bakersfield,CA. Application Deadline This position is anticipated to close on Feb 14, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: + Hiring diverse talent + Maintaining an inclusive environment through persistent self-reflection + Building a culture of care, engagement, and recognition with clear outcomes + Ensuring growth opportunities for our people The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.