Payor Contracting Specialist PRN
2 days ago
Moody Neuro Rehabilitation Institute is seeking a highly skilled Payor Contracting Specialist PRN to support our contracting efforts for our Lubbock, Houston, and Galveston facilities.
Job Summary:The Payor Contracting Specialist PRN will be responsible for evaluating current payor contracts and rates, establishing new payor contracting contacts, and maintaining accurate and up-to-date contract records and documentation.
Key Responsibilities:- Evaluate current payor contracts and rates, proposing changes as needed to ensure alignment with organizational goals and objectives.
- Facilitate the contracting process from initiation through closure, including preparing contract amendments, extensions, and terminations as needed.
- Work with stakeholders to review proposed rates and ensure contract billing requirements are communicated and monitored.
- Establish new payor contracting contacts and draft proposals, reviewing market information and determining other potential payor sources.
- Maintain accurate and up-to-date contract records and documentation, developing dashboards to monitor contract performance, compliance, and renewal dates.
- Bachelor's Degree from an accredited college or university preferred.
- 6+ years' experience working in a high-level administrative support position, with 2+ years in a medical group, health plan, hospital, or other related healthcare organization.
- Proven track record of successful contract analysis and administration preferred.
- Knowledge of healthcare regulations, including HIPAA, Stark Law, and Anti-Kickback Statute.
The Payor Contracting Specialist PRN will work in a fast-paced environment, collaborating with various stakeholders to ensure contract alignment with organizational goals and objectives.
The ideal candidate will possess excellent communication and organizational skills, with the ability to prioritize and manage multiple tasks and deadlines.
Moody Neuro Rehabilitation Institute offers a competitive salary and benefits package, as well as opportunities for professional growth and development.
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