Contract Specialist

3 weeks ago

Fort Wayne, United States CoxHealth Full time

SummaryBest in Class Work Environment 5x Modern Healthcare Best Places to workAmericas Greatest Workplaces 2023 NewsweekBest Employers for New Grads 2023- ForbesGreatest Workplace for Women 2023 - NewsweekBenefits Robust, fully customizable benefits package including Medical/Vision/Dental and more No cost eCare visitsEmployer-provided mental health services for employees and eligible family membersRetirement with employer matchTuition discounts and reimbursement available for continuing your educationFree and convenient parkingCoxHealth Fitness Center and Child Care discountsOnsite delivery for CoxHealth Pharmacies and 1906 Employee StoreJob Summary The Contract Specialist must review and understand provider, workers compensation, managed care and other contracts; utilize standard contracting documents; develop and implement contract ranking/qualifying system; develop and implement contract tracking system; prepare contract summaries, payor notices and updates; contract troubleshooting; research projects. Must be detail-oriented and keep a history of communication and processes as they pertain to the contracting process. Responsible for tracking and ensuring execution, renewal and renegotiation of all applicable contracts, amendments, and addendums. Responsible for facilitating communication between employer groups, third party administrators, and office staff. Assists in development of new documents as appropriate; maintains standard contracting documents in contractual relationships. Assists in maintaining complex spreadsheets of financial and reimbursement data for management. Able to organize, prioritize and multi-task to execute projects and day to day work flow. Proficient in interpreting employer group and other payer benefits. Able to work independently with minimal supervision.Job Requirements Education Required: High School Diploma or Equivalent Preferred: Bachelors in a Related FieldExperience Required: 3-5 Years experience working in the healthcare industry, insurance, legal and/or Managed Care industry.Skills Working knowledge of contracts. Experience in contracting, claims processing, filing, or coding in a provider office and/or clinic, legal, or insurance organization Proficient in all Microsoft programs, database experience preferred Ability to communicate effectively with different levels of management Ability to handle difficult situations professionally Ability to make routine decisions in accordance with departmental policies and procedures.Licensure/Certification/Registration N/A#J-18808-Ljbffr

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