Precision Diagnostics based in San Diego, California is a fast-growing laboratory that specializes in providing quantitative drug testing, primarily for helping physicians monitor their patients undergoing treatment for pain or substance abuse. Precision’s objective is to improve patient adherence/compliance with their prescription regimen and protect medical practices from liability.
The Contracting Coordinator is part of a contracting and credentialing team that is responsible for all aspects of payer contracting and credentialing for a national laboratory. The position has growth potential to develop into a supervisory role.
Research potential payer contracting opportunities in each state where we are licensed.
Initiate payer outreach and begin application/contracting process as needed.
Draft LOI’s and proposals as requested.
Set up EFT enrollment for new payers as needed.
Maintains copies of all current state licenses, CLIA certificates, malpractice coverage and any other required.
Ensures demographic information is current with health plans, agencies and other entities.
Audits health plan directories for current and accurate provider information. Other duties as assigned.
Complete the credentialing and re-credentialing process for each payer as needed.
Monitor and follow up on pending applications.
4-year degree strongly preferred, but not required.
1-2 years of previous credentialing and/or contracting experience required.