Job Description

*Experience within the healthcare / medical field is required

This position will provide functional support to the Contract Manager, carrying out supplemental administrative tasks towards existing and new contracts.

Experience:

This position requires experience with managed care contracts directly involving network management, contract administration, coordination, medical billing application/knowledge, LoA (Letter of Agreement), claims auditing, database management. and Patient Financial Services operations.

Skills and Knowledge:

The candidate must have full knowledge of Managed Care Contracting, high level knowledge of claims payment / processing procedures / methodologies; advanced provider relations and customer service skills; ; strong knowledge of managed care nomenclature and various types of provider reimbursement mechanisms; good knowledge of medical center operations, confirmation of rates, patient registration and patient accounting processes. Also crucial carrying follow up methods; must understand payer coordination of benefits (COB) rules.

The secondary knowledge requirements are: solid understanding of hospitals and professional charges and utilization; and a basic understanding of ICD-10 and CPT / HCPCS coding structure and usage. In addition, the incumbent must have strong interpersonal, organizational, analytical, verbal and written skills to communicate at all levels of the organization. EPIC experience a plus.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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