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Job Requirements of Contract Specialist II:
-
Employment Type:
Contractor
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Location:
Houston, TX (Onsite)
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Contract Specialist II
Careers Integrated Resources Inc
Houston, TX (Onsite)
Contractor
Job Title: Contract Specialist II
Job Location: Houston, TX
Job Duration: 12 Months (possibility of extension)
Shift: Mon-Fri 8am-5pm
Job Summary:
Job Location: Houston, TX
Job Duration: 12 Months (possibility of extension)
Shift: Mon-Fri 8am-5pm
Job Summary:
- Negotiates assigned contracts and letters of agreements with hospitals, physician groups and ancillary providers that result in high quality, cost effective and marketable providers.
- Maintains tracking system and publish reports according to departmental procedures.
- Initiates, negotiates, generates, and tracks provider Letters of Agreement, contracts, and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments.
- Supports network development throughout state to including researching, recruiting, and negotiating with providers.
- Participates in the evaluation of provider network and implementation of strategic plans to meet Client’s network adequacy standards.
- Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital, and ancillary providers.
- Assists in analysis and coordination of amendments, reimbursement, and language changes.
- Requests information of billing codes, services provided, and other information needed to complete the contract profile.
- Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
- Knowledge in Excel, Word, Outlook, and PowerPoint programs
- Ability to interact well with all internal and external customers’
- Ability to work and make decisions independently Excellent organizational and verbal and written communication skills
- Ability to abide by Client’s policies Ability to maintain attendance to support required quality and quantity of work
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
- Bachelor’s Degree or equivalent work experience in health care field including, but not limited to, provider’s office, managed care, or other health care field.
- 2-4 years provider contract negotiation experience in the health care field including, but not limited to, provider’s office, managed care organization, or other health care field.
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