Delegation Specialist

Immediate need for a talented Delegation Specialist. This is a 06+ Months Contract opportunity with long-term potential and is located in Florida (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-64304

Pay Range: $28 - $30/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• During the training/learning process the opportunity for OT will not be available.
• Once the employee can meet our required metrics of completing 300 monthly submissions during their 8hr shift, and is able to work independently, the OT opportunity will be extended.  
• Daily schedule is 8:00 am – 4:30 pm. which can be flexible during the day.
• The employees are assigned groups which they will be responsible for processing their requests and serve as their point of contact for delegated matters.
• Requests are received through a shared delegation mailbox.
• Time management is crucial, using practical judgment, attention to detail, organizational skills, the ability to prioritize & pivot, communicational skills(written & verbal), problem-solving and work under pressure.  
• Serve as the point of contact for delegated entities related to delegation matters.
• Manage monthly delegated rosters and reconciliation.
• Maintain accurate and up-to-date provider information in databases.
• Provide confirmation to delegated entities regarding their practitioners and facilities.
• Collect annual required documents such as Disclosure of Ownership forms and W9.
• Repapering all delegated entities with the new Delegated Contract Agreement.
• Compile and assemble pre-delegation packet for prospect delegated entity and ensure they adherence with delegation requirements.
• Background screenings as needed.
• Quarterly Administrative Subcontractors and Affiliates Report.
• Communicate with our delegates.
• Attend meetings as needed.
• Partnering with our internal customers as needed.
• Work special projects as needed.

Key Requirements and Technology Experience:

• Skills-Delegation & Credentialing & Excel formulas & Reporting experience.
• Remote – FL (Candidate must be in Florida).
• Excel, Reporting knowledge, 5 yr minimum experience in corporate world or professional field.
• NAMSS Credentialing Certification, knowledge of NCQA Standards.
• Excel formulas, Reporting.
• Communication Skills, written, verbal.
• Time Management.
• High School diploma, Bachelor’s degree.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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