Contract Specialist
2 weeks ago
Summary
Best in Class Work Environment
5x Modern Healthcare Best Places to work
America’s Greatest Workplaces 2023 – Newsweek
Best Employers for New Grads 2023- Forbes
Greatest Workplace for Women 2023 - Newsweek
Benefits
Robust, fully customizable benefits package including Medical/Vision/Dental and more
No cost eCare visits
Employer-provided mental health services for employees and eligible family members
Retirement with employer match
Tuition discounts and reimbursement available for continuing your education
Free and convenient parking
CoxHealth Fitness Center and Child Care discounts
Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
Job 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 Field
Experience
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
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