Share Email Opening Title Medical Insurance Contracting Specialist  Category Billing   Description The leading cardiology group in the West Valley is expanding and looking to add valuable and skilled team members to our comprehensive and long-standing Practice. Cardiac Solutions provides a personalized, team-oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients. Competitive wages Uniform/Scrub Allowance Monday - Friday for most positions 7 Company Paid Holidays* Employee Medical coverage option as low as $25.00 per paycheck* Dental & Vision* Supplemental coverage options to include Life/AD&D, Short-Term, Long-Term, Critical Illness, Hospital, Accidental* 401(k) retirement plan Paid Time Off* Paid Sick Time Employee Assistance & Discount Programs *Available to full-time, regular employees* - ** Restrictions may apply ** POSITION SUMMARY: The Medical Insurance Contracting Specialist is responsible for managing all aspects of insurance contracting for providers and the organization. This includes the development, negotiation, and maintenance of healthcare contracts in compliance with federal, state, and local regulations, as well as internal standards. The specialist works closely with the Director of Revenue Cycle Management (RCM) to ensure timely communication of new contracts, updates to existing agreements, and changes to billing policies. ESSENTIAL JOB DUTIES: Prepare, submit, and maintain insurance contracts, provider directories, rosters, and credentialing/recredentialing documentation. Support the Director of RCM in negotiating contracted rates with payers across multiple states. Maintain and update the database of credentialed providers and organizational records. Investigate and resolve issues related to the contracting process. Communicate contractual terms and updates to the billing department; ensure policies are revised accordingly. Maintain accurate online directories for contracted insurance carriers, including provider demographics and practice locations. Ensure compliance with all applicable laws, regulations, and internal policies, including the Standards of Conduct and Code of Ethics. Manage malpractice coverage documentation for all providers and the organization. Develop knowledge of standardized credentialing, licensing, and privileging processes. Maintain strict confidentiality in all aspects of the role. Perform other duties as assigned.   Position Requirements KNOWLEDGE, SKILLS AND ABILITIES: Proficiency in Microsoft Office Suite. Understanding of credentialing, licensing, and privileging processes for clinical staff. Familiarity with insurance contracts and credentialing procedures. Knowledge of HIPAA regulations and healthcare compliance standards. Ability to work in a fast-paced environment while maintaining organization and meeting deadlines. Strong professionalism and commitment to confidentiality. Ability to work independently and collaboratively within a team. Effective communication skills with physicians, advanced practice providers, insurance carriers, and healthcare facilities. EDUCATION AND/OR EXPERIENCE: 2–3 years of recent experience in credentialing, licensing, privileging, and contract management. Experience with credentialing software preferred. Excellent customer service, verbal and written communication skills. Strong analytical and organizational abilities. PHYSICAL DEMANDS/WORK ENVIRONMENT: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the following physical/work environment functions apply: Sit for extend periods of time, stand, talk, bend or hear Type, utilizing a computer keyboard May lift to 25 lbs. Utilize a multi-line telephone system   Full-Time/Part-Time Full-Time   Shift Days   Minimum Education   Travel Requirements   Exempt/Non-Exempt Non-Exempt   Location Peoria Office   About the Organization Cardiac Solutions is a medical, physician-owned business that provides a comprehensive range of cardiac health services to the general public and referred patients. Founded in 1984 by Dr. Joseph Caplan, our clinics have established a solid reputation for innovative cardiology treatments and personalized cardiovascular care. We are proud of our status as the West Valley's leading cardiology team, specializing in YOUR total heart care. Our board-certified cardiologists always put your treatment and care first, allowing you to have the peace of mind knowing that your heart is in good hands. With our intensive educational opportunities through nurse-directed clinics, we help prevent the progression of heart disease by offering extensive cardiology testing. Our main goal is to avoid hospital admissions by accurately diagnosing and treating cardiac problems at the earliest possible stage. During this process, you not only build a relationship with your physician, but with the many members of our TEAM, all of whom are focused on YOUR heart health.   EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.   This position is currently not accepting applications. To search for an open position, please go to http://JOSEPHACAPLANMDPCdbaCardiacSolutions.appone.com WE ALSO RECOMMEND Other Jobs Within Same Category In Office Testing - Authorizations Coordinator in Peoria, AZ Posted on: 9/19/2025 [Apply Now] Patient Account Collectors in Peoria, AZ Posted on: 9/19/2025 [Apply Now] Hospital Billing Specialist in Peoria, AZ Posted on: 9/12/2025 [Apply Now] Insurance AR/Collections Specialist in Peoria, AZ Posted on: 9/12/2025 [Apply Now] Procedure Authorization Coordinator in Peoria, AZ Posted on: 8/29/2025 [Apply Now] Other Jobs Within 60 Miles Echo/Vascular Sonographer in All, AZ Posted on: 9/19/2025 [Apply Now] PRN Nuclear Tech in All, AZ Posted on: 9/12/2025 [Apply Now] Cardiac Device Monitor Technician - MA or ECG Tech in Peoria, AZ Posted on: 7/28/2025 [Apply Now] Medical Assistant-Triage in Peoria, AZ Posted on: 9/19/2025 [Apply Now] Medical Assistant or ECG Technician in All, AZ Posted on: 8/25/2025 [Apply Now]

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