Contract Specialist Remote

@ Talentify.io

Why Consider This Job Opportunity

This Contract Specialist Remote role offers a salary up to $83,160, career advancement opportunities, and a collaborative work environment with cross-departmental interaction. You will engage in meaningful work impacting provider reimbursement processes and have the chance to develop expertise in contract configuration and reimbursement methodologies.

What To Expect (Job Responsibilities)

Responsibilities include:

• Loading all Professional, Facility, and Ancillary contracts accurately and timely.
• Collaborating with Network Management and Analytics for accurate contractual capture.
• Identifying and correcting issues related to rate loads.
• Analyzing negotiated contracts to ensure reimbursement aligns with negotiated terms.
• Coordinating rate testing and updates for evergreen contracts.

What Is Required (Qualifications)

Basic qualifications include a B.S. degree in Business Operations, Information Systems, or equivalent, 2-3 years of relevant experience in a healthcare environment, familiarity with claims systems, and excellent knowledge of medical terminology, Fee Schedules, and ICD/CPT/HCPCS coding. Experience in setting up, maintaining, testing, and auditing contract files is essential.

How To Stand Out (Preferred Qualifications)

Preferred qualifications include a Master’s Degree in a relevant field, experience in establishing business strategies for translating contractual language into reimbursement specifications, understanding of Government reimbursement methodologies, along with strong analytical and problem-solving skills.

Key skills/competency

• Contract Management
• Healthcare
• Reimbursement
• Configuration
• Rate Testing
• Data Analysis
• Medical Terminology
• Problem Solving
• Business Operations
• Compliance