Aria Care Partners

Credentialing Specialist

• The Credentialing Specialist will be responsible for timely submission and follow-up for institutional and individual provider credentialing, contracting, and re-credentialing with health insurance payors across multiple states and service lines.
• Assists in verifying and monitoring credentials of healthcare providers and completing facility applications as needed.
• Maintains confidential files of providers records to meet company and compliance standards.
• Prepare and submit credentialing applications and supporting documentation for the purpose of enrolling groups and providers with Commercial, Medicare, and Medicaid networks.
• Follow up on the status of applications for providers with payers, tracking progression of pending and completed work.
• Maintains accurate and up-to-date database of information including provider credentials and payer statuses.
• Works closely with internal teams to communicate approvals and work through denials as necessary.
• Maintains knowledge of current payer requirements across multiple states and service lines.
• Maintain strict level of confidentiality and HIPAA compliance.
• Familiarity with state licensing requirements and provider onboarding tasks.
• Familiarity with various payer portals and CAQH.
• Contact providers and payers, by phone or email, for updates and/or to request missing information.
• Ensure group and provider information is current/accurate with health insurance payers.
• Assist with facility credentialing applications as needed.

Account Manager

• Provide excellent customer service, retention of existing accounts, and insurance sales.
• Sustain rapport with key accounts by making periodic visits – at a minimum once per quarter; exploring specific needs; anticipating new opportunities.
• Achieve marketing and sales operational objectives by contributing marketing and sales information and recommendations to strategic plans and reviews; preparing and completing action plans; implementing quality and customer-service standards; resolving problems; completing audits; identifying trends; determining system improvements; implementing change.
• Identify marketing opportunities by identifying consumer requirements; defining market, competitor's share, and competitor's strengths and weaknesses; forecasting projected business; establishing targeted market share.
• Accomplish organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Keep promotional materials ready by coordinating requirements with marketing department; inventorying stock; placing orders; verifying receipt.
• Plan meetings and attend trade shows.
• Protect organization’s value by keeping information confidential.

Manager

• Ongoing performance management of all direct reports
• Conduct and document disciplinary action as needed, up to and including terminations
• Conduct monthly 1:1’s with field team members
• Ensure timecards are updated and approved
• Approve expenses
• Coordinate and participate in training and onboarding of new field team members
• Conduct ongoing training for existing field team members
• Interview and participate in hiring process for new field team members
• Remain accessible to field team members throughout the day
• Perform other duties as necessary

Clinical Field Team Manager – Optometry

• Provide excellent customer service, retention of existing accounts, and insurance sales.
• Sustains rapport with key accounts by making periodic visits – at a minimum once per quarter; exploring specific needs; anticipating new opportunities.
• Achieves marketing and sales operational objectives by contributing marketing and sales information and recommendations to strategic plans and reviews; preparing and completing action plans; implementing quality and customer-service standards; resolving problems; completing audits; identifying trends; determining system improvements; implementing change.
• Identifies marketing opportunities by identifying consumer requirements; defining market, competitor's share, and competitor's strengths and weaknesses; forecasting projected business; establishing targeted market share.
• Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Keeps promotional materials ready by coordinating requirements with marketing department; inventorying stock; placing orders; verifying receipt.
• Plans meetings and attends trade shows.
• Protects organization's value by keeping information confidential.

Account Executive

• Responsible for business development and client retention.
• Generates and develops new skilled nursing facility contracts to meet specified production goals.
• Maintains and nurtures existing client relationships.
• Negotiates contracts and work agreements.
• Generates weekly, monthly and quarterly reports, tracking work as specified by manager.
• Participates in important business/trade events that impact business unit.
• Promotes company endorsed programs and services within assigned territory.
• Performs other related duties as assigned by management.

• Responsible for business development and client retention.
• Generates and develops new skilled nursing facility contracts to meet specified production goals.
• Maintains and nurtures existing client relationships.
• Negotiates contracts and work agreements.
• Generates weekly, monthly, and quarterly reports, tracking work as specified by manager.
• Participates in important business/trade events that impact business unit.
• Promotes company endorsed programs and services within assigned territory.
• Performs other related duties as assigned by management.

• responsible for business development and client retention
• Generates and develops new skilled nursing facility contracts to meet specified production goals
• Maintains and nurtures existing client relationships
• Negotiates contracts and work agreements
• Generates weekly, monthly and quarterly reports, tracking work as specified by manager
• Participates in important business/trade events that impact business unit
• Promotes company endorsed programs and services within assigned territory
• Performs other related duties as assigned by management