Payer Contracting Specialist
1 week ago
The USA Clinics Group is seeking a highly motivated and detail-oriented Payer Contracting Associate to join our team in Northbrook, Illinois.
About the Role
- This entry-level position focuses on network development, contracting, and process improvement.
- You will partner with the Manager of Contracting and Payor Relations to implement payor strategy and resolve payor issues.
Responsibilities
- Assist with negotiation of managed care agreements with payors, health systems, IPA's, and other entities, including language and rate negotiation.
- Gain working knowledge of various reimbursement strategies and ability to analyze rate proposals.
- Develop ability to identify unfavorable contract language in agreements.
- Implement payor strategy in partnership with the Manager of Contracting and Payor Relations.
- Maintains a thorough operational knowledge of contractual agreements and specific contractual language with Payors.
- Coordinate with credentialing regarding demographic updates and needs related to contracting efforts.
- Collaborate with Operations, legal, billing, and compliance to track and resolve payor issues, including payment and/or billing disputes.
- Continually create, document, and improve processes to provide clear communication throughout the lifecycle of contracting efforts.
- Manage contract assignments and any documentation relevant to the negotiation, strategy, and/or implementation of the contract.
- Proactively monitor and report on current contracting efforts.
- Partner with internal team to ensure that contracting efforts align with company and divisional goals.
- Communicate with relevant stakeholders to ensure contract commitments are operationalized.
- Additional duties as assigned.
Requirements
- Bachelor's degree, required.
- Degree in Health Care Administration, Managed Care Contracting, or similar degree preferred.
- Interest in Health Care operations required.
Benefits
- Health insurance with dental and vision.
- PTO with sick time.
- 401k & match.
-
Payer Contracting Professional
2 weeks ago
Northbrook, Ohio, United States USA Clinics Group Full timeUSA Clinics GroupPayer Contracting Associate PositionEstimated Salary: $60,000 - $80,000 per annumAbout the RoleThis is an entry-level position that requires strong analytical and communication skills. The Payer Contracting Associate will partner with the Manager of Contracting and Payor Relations to implement payor strategy, focusing on payor operations,...
-
Contract Negotiation Specialist
2 weeks ago
Northbrook, Ohio, United States USA Clinics Group Full timeUSA Clinics Group: A Leader in HealthcareWe are seeking a highly motivated and detail-oriented individual to join our team as a Payer Contracting Associate. This is an exciting opportunity for someone who wants to make a difference in the healthcare industry.The successful candidate will have excellent communication and negotiation skills, as well as strong...
-
Lead Contract Specialist
7 days ago
Northbrook, Ohio, United States USA Clinics Group Full timeJob Overview:Lead Contract SpecialistAs a Lead Contract Specialist at USA Clinics Group, you will play a crucial role in reviewing, negotiating, and drafting contracts for our organization. This is a unique opportunity to apply your contract management expertise and contribute to the growth and success of our business.ResponsibilitiesReview and negotiate...
-
Contracting Associate Manager
2 weeks ago
Northbrook, Ohio, United States USA Clinics Group Full timeUSA Clinics Group Job OpportunityWe are looking for a skilled Payer Contracting Associate to join our team. This role offers an exciting opportunity to work in a dynamic environment and contribute to the growth of our organization.About the PositionThis entry-level position is ideal for individuals interested in health care operations and contracting.You...
-
Healthcare Network Development Associate
2 weeks ago
Northbrook, Ohio, United States USA Clinics Group Full timeUSA Clinics Group: Career OpportunitiesWe are seeking a highly motivated and detail-oriented individual to join our team as a Payer Contracting Associate. This is an exciting opportunity for someone who wants to build a successful career in healthcare contracting.The successful candidate will have excellent communication and negotiation skills, as well as...
-
Provider Status Specialist
5 days ago
Northbrook, Ohio, United States USA Clinics Group Full timeJob Overview: USA Clinics Group seeks a skilled Provider Status Specialist to ensure timely and accurate completion of credentialing packages for all providers. This role plays a crucial part in maintaining active status for providers, ensuring compliance with Medicare and Medicaid regulations, and facilitating smooth interactions with commercial payers and...
-
Medical Claims Specialist
1 month ago
Northbrook, Ohio, United States Beacon Hill Staffing Group Full timeJob OverviewWe are seeking an experienced Medical Claims Specialist to join our team in Northbrook, IL.This is a full-time position with a day shift schedule, Monday through Friday.The ideal candidate will have 1+ year of experience in medical billing, specifically with Epic and professional/physician billing.About the RoleAs a Medical Claims Specialist, you...
-
Revenue Cycle Coordinator
6 days ago
Northbrook, Ohio, United States USA Clinics Group Full timeJob Description:USA Clinics Group is a dynamic healthcare organization seeking a skilled Payment Posting Specialist to join our team in Northbrook, IL. As a key member of the Revenue Cycle Management (RCM) team, this role will be responsible for accurately posting payments, denials, adjustments, and rejections to patient accounts.Responsibilities:Accurate...
-
Payment Transaction Clerk
6 days ago
Northbrook, Ohio, United States USA Clinics Group Full timeUSA Clinics Group">About the Position:We are seeking a highly skilled Payment Posting Specialist to join our team in Northbrook, IL. As a key member of the Revenue Cycle Management (RCM) team, this role will be responsible for accurately posting payments, denials, adjustments, and rejections to patient accounts.Key Responsibilities:Accurate Payment Posting:...
-
Radiology Imaging Specialist
4 weeks ago
Northbrook, Ohio, United States Skyline Med Staff Allied Full timeSkyline Med Staff Allied is a renowned healthcare staffing agency seeking an experienced Radiology Imaging Specialist for a travel position in Illinois.About the JobThis 16-week assignment offers a unique opportunity to work with a dedicated team of professionals and contribute to the delivery of high-quality patient care. As a Radiology Imaging Specialist,...
-
Medical Imaging Specialist
4 weeks ago
Northbrook, Ohio, United States LanceSoft Full timeLanceSoft, a leading healthcare staffing firm, is seeking an experienced Medical Imaging Specialist for a travel opportunity in the Northbrook area.Job SummaryWe are looking for a highly skilled and motivated CT Technologist to join our team on a short-term contract basis. As a Medical Imaging Specialist, you will be responsible for performing high-quality...
-
Mobile Diagnostic Imaging Specialist
3 weeks ago
Northbrook, Ohio, United States Wellspring Nurse Source Full timeAbout the OpportunityWe are seeking a skilled Mobile Diagnostic Imaging Specialist to join our team in Northbrook, Illinois. This is an exciting opportunity to work as a CT Technologist in a dynamic environment.Job SummaryThe successful candidate will be responsible for operating CT scanners and performing diagnostic imaging procedures. This is a 16-week...
-
Northbrook, Ohio, United States Sunbelt Staffing Full timeJob OpportunitySunbelt Staffing is seeking a highly skilled Board Certified Behavior Analyst to join their team in the Northbrook area. This full-time contract position comes with benefits and will involve working with students in grades K-2nd throughout the school year.The ideal candidate will have a minimum of 1+ years of experience as a Behavior...
-
Advanced Diagnostic Imaging Specialist
4 weeks ago
Northbrook, Ohio, United States AHS Staffing Full timeAHS Staffing is seeking a travel CT Technologist for a dynamic assignment in the Northbrook, Illinois area. Job OverviewThis 16-week contract position offers a unique opportunity to work as a Radiologic Technologist CT Tech, providing high-quality imaging services to patients.About the AssignmentThis contracted travel position will involve working 40 hours...
-
Travel Imaging Specialist
4 weeks ago
Northbrook, Ohio, United States ADN Healthcare Full timeExplore a rewarding opportunity as a Travel CT Technologist with ADN Healthcare. We have a travel job available in Northbrook, Illinois, offering an exciting chance to work with a skilled team.About the RoleThis 16-week position requires a highly skilled Allied Health Professional to work as a CT Technologist. The successful candidate will be responsible for...
-
Payer Contracting Associate
4 weeks ago
Northbrook, Illinois, United States USA Clinics Group Full timePayer Contracting Associate Job SummaryWe are seeking a highly motivated Payer Contracting Associate to join our team at USA Clinics Group. As a key member of our contracting department, you will play a critical role in developing and maintaining strong relationships with payors, health systems, and other entities.Key Responsibilities:Negotiate managed care...
-
Credentialing Specialist
2 months ago
Northbrook, United States USA Clinics Group Full timeUSA Clinics Group is growing and seeking a motivated Credentialing Specialist to join our team! The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, and regulatory agencies....
-
Certification Specialist
5 days ago
Northbrook, Illinois, United States USA Clinics Group Full timeCredentialing Specialist PositionUSA Clinics Group is a growing healthcare organization seeking an experienced Credentialing Specialist to maintain active status for all providers. This critical role involves successfully completing initial and subsequent credentialing packages as required by Medicare, Medicaid, commercial payers, hospitals, and regulatory...
-
Credentialing Specialist
2 months ago
Northbrook, United States Josselyn Full timeLocation: Northbrook, IL (Onsite - no remote option)Hours: Monday - Friday, 8:30 AM - 4:30 PMJob Summary The Credentialing and Billing Specialist is responsible for maintaining active status for all clinicians and physicians by successfully completing the initial and subsequent credential packages as required by regulatory agencies, commercial payors, and...
-
Medical Provider Validator
5 days ago
Northbrook, Illinois, United States USA Clinics Group Full timeCredentialing Specialist Job Summary:Maintain accurate individual provider files with up-to-date information for government and commercial payer applications.Update the internal provider grid to ensure accuracy and availability of logins.Timely update each provider's CAQH database file according to CMS schedules.Renew annually all provider licenses:...
-
Adoptions Specialist
1 month ago
Northbrook, United States Savvas Learning Full timeSavvas Learning Company is a global education company that produces award-winning learning solutions that empower educators and engage students with the highest quality content. Recognized as an industry leader, we serve millions of K-12 learners with innovative, student-centered educational programs that turn today's classrooms into active learning...
-
Diagnostic Imaging Specialist
4 weeks ago
Northbrook, Illinois, United States ADN Healthcare Full timeJob SummaryADN Healthcare is currently seeking a highly skilled and experienced CT Technologist to join our team for a contract position in Northbrook, Illinois.About the JobThis 16-week contract opportunity requires the successful candidate to work 40 hours per week on an 8-hour day shift. The ideal candidate will have a strong background in diagnostic...
-
Advanced Imaging Specialist
1 month ago
Northbrook, Illinois, United States Advent Northbrook Full timeUnlock Your Travel Career PotentialWe invite you to explore a rewarding travel career with Advent Northbrook as an Advanced Imaging Specialist - CT Tech. This exciting opportunity allows you to see new places, develop your skills, and advance your profession.About the JobThis 16-week contract offers a 32-hour workweek with variable shifts, providing...
-
Advanced CT Imaging Specialist
1 month ago
Northbrook, Illinois, United States Genie Healthcare Full timeWe are seeking a highly skilled and motivated Advanced CT Imaging Specialist to join our team at Genie Healthcare. This is a unique opportunity to work in a fast-paced environment with a talented group of professionals.About the JobType: Travel AssignmentLocation: Northbrook, ILDuration: 16 weeksThis travel assignment will provide you with the opportunity to...
-
Diagnostic Imaging Specialist
4 weeks ago
Northbrook, Illinois, United States Source Medical Staffing Full timeSource Medical Staffing is a leading provider of healthcare staffing solutions, offering temporary and permanent positions for medical professionals.About the JobWe are currently seeking a skilled Diagnostic Imaging Specialist to join our team for a travel position in Northbrook, Illinois.Job SummaryThis is a 16-week contract with a guarantee of 40 hours per...
-
CT Imaging Specialist
1 month ago
Northbrook, Illinois, United States Advent Northbrook Full timeJob Title: CT Imaging SpecialistWe are seeking a skilled and dedicated CT Technologist to join our team at Advent Northbrook. This is a fantastic opportunity for professionals looking to advance their career in imaging technology.About the Job:Job Type: Travel Allied Healthcare ProfessionalOngoing Contract: 16 weeks, with possible extensionThis contract...
-
Medical Imaging Specialist
4 weeks ago
Northbrook, Illinois, United States Source Medical Staffing Full timeAbout Source Medical StaffingWe strive to make a difference in healthcare staffing, solving problems and working for our clients.Making a positive impact matters. We're passionate about adding value to the medical facilities we serve. Healthcare professionals have goals; we help them achieve them. We're an extension of your team or a lifeline while on...
-
Diagnostic Imaging Specialist
1 month ago
Northbrook, Illinois, United States Advent - Northbrook Full timeAdvent - Northbrook is seeking a skilled Diagnostic Imaging Specialist to join our team. This is a 16-week contract opportunity in Vernon Hills, Illinois. The ideal candidate will have experience in a clinical setting and hold Registered Technologist (RT) registration issued by the American Registry of Radiologic Technologists (ARRT).The selected individual...
-
Advanced Imaging Specialist
4 weeks ago
Northbrook, Illinois, United States Nurse First Full timeJob Summary:Nurse First is seeking a skilled Advanced Imaging Specialist for a travel position in Illinois. This assignment offers a unique opportunity to work with patients and gain experience in a dynamic environment.About the Role:This 16-week contract requires a 40-hour workweek, with shifts lasting 8 hours. The successful candidate will be responsible...
-
Advanced Medical Imaging Specialist
4 weeks ago
Northbrook, Illinois, United States AHS Staffing Full timeJob DescriptionAHS Staffing is seeking an experienced Advanced Medical Imaging Specialist for a travel opportunity in Northbrook, Illinois.Job DetailsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalShift: 8 hours, daysEmployment Type: TravelAbout the JobThis assignment offers a unique chance to work as a Long Term Radiologic Technologist CT...
-
Travel Imaging Specialist
1 month ago
Northbrook, Illinois, United States Anders Group Full timeJob Title: Travel Imaging SpecialistWe are seeking a skilled CT Technologist for a travel job in Northbrook, Illinois. As a key member of our team, you will be responsible for operating imaging equipment to produce high-quality diagnostic images.Job Summary:A challenging and rewarding opportunity has arisen for a CT Technologist to join our dynamic team at...
-
Northbrook, United States Sunbelt Staffing Full timeJob DescriptionJob DescriptionMinimum 1+ years Behavior Specialist experience required.Sunbelt Staffing is seeking aBoard Certified Behavior Analystlocated nearNorthbrook, Illinois.This contract position is Full-Time and will be working with students K-2nd for the full school year with benefits included. In this role, the Board Certified Behavior Analyst....
-
Northbrook, United States Sunbelt Staffing Full timeJob DescriptionJob DescriptionMinimum 1+ years Behavior Specialist experience required.Sunbelt Staffing is seeking aBoard Certified Behavior Analystlocated nearNorthbrook, Illinois.This contract position is Full-Time and will be working with students K-2nd for the full school year with benefits included. In this role, the Board Certified Behavior Analyst....
-
Speech Therapist Specialist
2 weeks ago
Northbrook, Illinois, United States Center For Psychological Services Full timeAbout UsThe Center for Special Education Services (CSES) is a leading provider of interprofessional assessments in speech-language, psychology, physical therapy, occupational therapy, and social work to school districts throughout Illinois.Job OverviewWe are seeking an experienced Licensed Bilingual Speech Therapist to join our fast-growing evaluation team....
-
Communication Specialist for Student Development
4 weeks ago
Northbrook, Illinois, United States Soliant Full timeJob OverviewSoliant is partnering with a school district in Northbrook, Illinois to fill a contract Speech-Language Pathologist position.The ideal candidate will have experience working with students and be able to collaborate with administrators to ensure student success.