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Provider Services Specialist
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HPS Provider Svc Specialist
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Warehouse Operations Specialist
5 days ago
Fort Wayne, Indiana, United States Bostwick Braun Company Inc Full timeJob OverviewAs a Warehouse Operations Specialist, your role will be pivotal in ensuring the smooth functioning of our logistics processes. You will be responsible for accurately selecting and preparing products for dispatch, ensuring that all orders are fulfilled with precision and efficiency. The ideal candidate will possess a keen eye for detail,...
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Warehouse Operations Specialist
4 days ago
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Operations Specialist
2 months ago
Fort Wayne, United States CHS Inc Full timeCHS Inc. is a leading global agribusiness owned by farmers, ranchers and cooperatives across the United States that provides grain, food and energy resources to businesses and consumers around the world. We serve agriculture customers and consumers across the United States and around the world. Most of our 10,000 employees are in the United States, but today...
Provider Operations Specialist
2 months ago
Contemporary Staffing Solutions is seeking a dedicated and detail-oriented Provider Operations Specialist to join our client for a remote opportunity In this role, you will play a crucial part in operationalizing both new and existing provider contracts, ensuring accuracy and adherence to contractual terms. This Contract-to-Hire opportunity offers $24-$28/Hour
Responsibilities:
- Assist in loading and testing provider contracts.
- Support setup of new contracts, fee schedules, and amendments.
- Coordinate annual contract rate updates.
- Handle claims pricing inquiries and coordinate resolutions.
- Audit contract loads for adherence.
- Review and align provider demographic data with agreements.
- Contribute to quality improvement efforts.
- Adhere to turnaround time standards.
- Understand organizational strategies.
- Provide feedback on system needs.
- Participate in system testing and improvements.
- Perform other assigned duties.
- Associates Degree
- Minimum of 1 year of experience
- Experience in a managed care/healthcare environment.
- Extensive Professional Provider and/or Facility reimbursement experience required.
- Experience creating fee schedules.
- Understanding of complex provider contracts.
- Knowledge of binding terms and provisions in contracts.
- Functional knowledge of payment methodology.
- Experience with contract loading systems involving interpreting and programming reimbursement methodologies.
- Strong analytical and problem-solving skills.
- Familiarity with Medicare and Commercial reimbursement methodologies.
- Strong verbal and written communication skills.
Contemporary Staffing Solutions (CSS) has been a leading provider of contract, temporary, temporary-hire & direct hire solutions. We began as a staffing agency and evolved to a national provider of workforce management solutions with a niche recruitment focus in Accounting & Finance, Call Center & Office, Human Resources, Sales & Marketing, & Information Technology. To learn more about CSS, visit our website: www.ContemporaryStaffing.com