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Job Requirements of Contract Specialist II:
-
Employment Type:
Contractor
-
Location:
Atlanta, GA (Onsite)
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Contract Specialist II
Careers Integrated Resources Inc
Atlanta, GA (Onsite)
Contractor
Title: Contract Specialist II
Durations: 12 Months
Locations: Remote in GA
Job Description:
MUST LIVE IN GEORGIA
MONDAY TO FRIDAY 8AM TO 5PM
POTENTIAL TO BE TEMP TO HIRE POSITIONS
REQUIRES 3-5 YEARS OF RELATED EXPERIENCE
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.
Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims
systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
3 - 5 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.
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.
Durations: 12 Months
Locations: Remote in GA
Job Description:
MUST LIVE IN GEORGIA
MONDAY TO FRIDAY 8AM TO 5PM
POTENTIAL TO BE TEMP TO HIRE POSITIONS
REQUIRES 3-5 YEARS OF RELATED EXPERIENCE
Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.
Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims
systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
3 - 5 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.
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.
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