Insurance Contracting Specialist (Hybrid)
Irvine, CAAll locationsIrvine, CAHybrid (2 days per week in-office in Irvine, CA) Hybrid
$49,920–$54,080 a yearJobFig found this opening at its original source and checks that it remains available.
About the role
The Insurance Contract Administrator reports to the Assistant Vice President (AVP) of Payer Relations and Strategy and is a key member of the Insurance Contracting Department. This role is responsible for engaging with healthcare providers and multi-specialty groups within the behavioral healthcare continuum (including eating disorder, mental health and substance use disorder services) in accordance with corporate guidelines to secure Single Case Agreements (SCAs), insurance contracts, and provider credentialing. The Administrator supports organizational access and reimbursement objectives by building provider relationships and ensuring timely, compliant contracting outcomes specific to behavioral healthcare services and levels of care.
What you'll bring
- High School Diploma or GED required
- Required: Working knowledge of the Behavioral Healthcare industry, including mental health and substance use disorder treatment settings, levels of care, and common reimbursement structures
- Experience in behavioral healthcare operations, contracting, utilization management, admissions, or payer relations
- Comfort and confidence in making outbound calls to potential new healthcare providers
- ◦ Insurance claims and benefits for behavioral health services
- ◦ Provider contracting and credentialing
- ◦ Electronic Medical Record (EMR) systems (e.g., KIPU)
- ◦ CRM or enterprise systems (e.g., Salesforce, SAP)
- Employment Status: Full-Time
- Work Location: Hybrid (2 days per week in-office in Irvine, CA)
- Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work.
- DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.