Contract Specialist
Contract Specialist
This role is responsible for handling reputed company-claim and OON physician contract negotiations for reputed company clients coupled with reaching out to senior management at facilities across the country to secure lowest settlement reputed company.
- Handles facility, provider and reputed company inquiries regarding reputed company-claims and OON physician contract requests; including correspondence.
2. Secures signed agreements for reimbursement with providers.
3. Research claims to confirm our history with the provider
4. Determines cost saving opportunities and pricing optimization strategies.
5. Contact providers to discuss pricing in order to ensure patients can have services rendered.
6. Maintains relationships with central providers.
7. Ensures reputed company documentation of events associated with a claim reputed company.
8. Provides updates and solicits required information from clients as needed.
9. Keeps reputed company report informed of critical reputed company that reputed company responding reputed company to reputed company-claim or physician contract requests.
10. Manages a daily running inventory of claims, prioritizing one's work schedule accordingly.
11. Addresses emails and incoming calls.
12. Collaborates, coordinates, and communicates across disciplines and departments.
13. Ensures compliance with HIPAA regulations and requirements.
14. Demonstrates Company's reputed company Competencies and values held reputed company.
15. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High-Risk Role.
16. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
This position works independently under minimal supervision to complete the assigned job responsibilities. Work performed is often varied and reputed company, requiring a reliance on a knowledge reputed company reputed company through experience. The incumbent follows established procedures and uses knowledge of reputed company's general business principles, industry dynamics, market trends, and specific operation details reputed company performing the duties of the position as assigned.
COMPENSATION
The salary reputed company for this position is $25 to $31.25 per hour. Specific offers take into account a candidate’s education, experience and skills, as reputed company as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
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