Contract Specialist

6 days ago


Northridge, California, United States Regal Medical Group Full time
Job Summary

Regal Medical Group is seeking a highly skilled Contract Specialist to join our team. As a key member of our staff, you will be responsible for providing support in the ongoing maintenance and configuration of our systems, including the configuration of Contracting Database, Providers, Vendors, Fee schedules, and Capitation rates. Your primary focus will be on performing system maintenance functions in a manner that is responsive to customer needs and supports Regal initiatives.

Key Responsibilities
  • Adhere to data integrity policies for all system configurations.
  • Responsible for the data entry of claims system support tables and may be required to perform specialized area testing for providers, vendors, fee schedules for claims payment accuracy and system automation.
  • Responsible for the accurate and timely completion of tasks assigned.
  • Perform random audits as required to support policies and procedures for data integrity.
  • Communicate with management and make recommendations to improve processes.
  • Ensure all systems within their area of responsibility are reliable, responsive, and support the needs of the Medical Group networks.
  • Maintain a customer satisfaction-focused, service mentality to strengthen and build relationships with Heritage Provider Network and all Medical Groups under HPN.
  • Attend administrative meetings as requested.
  • Provide training to other staff members in data management.
  • All other duties as directed by management.

Benefits

As a valued member of our team, you will be eligible for a comprehensive benefits package, including employer-paid comprehensive medical, pharmacy, and dental insurance, vision insurance, zero co-payments for employed physician office visits, flexible spending account, employer-paid life insurance, employee assistance program, behavioral health services, 401(k) retirement savings plan, income protection insurance, vacation time, company celebrations, employee assistance program, employee referral bonus, tuition reimbursement, license renewal CEU cost reimbursement program, business-casual working environment, sick days, paid holidays, and mileage reimbursement.

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