[Hiring] Contract Specialist @CoxHealth

Role Description

The Contract Specialist must:

• Review and understand provider, workers compensation, managed care and other contracts.
• Utilize standard contracting documents.
• Develop and implement contract ranking/qualifying system.
• Develop and implement contract tracking system.
• Prepare contract summaries, payor notices and updates.
• Handle contract troubleshooting and research projects.
• Maintain a history of communication and processes related to the contracting process.
• Track and ensure execution, renewal and renegotiation of all applicable contracts, amendments, and addendums.
• Facilitate communication between employer groups, third party administrators, and office staff.
• Assist in the development of new documents as appropriate.
• Maintain standard contracting documents in contractual relationships.
• Assist in maintaining complex spreadsheets of financial and reimbursement data for management.
• Organize, prioritize and multi-task to execute projects and day-to-day workflow.
• Interpret employer group and other payer benefits.
• Work independently with minimal supervision.

Qualifications

• Education
  • Required: High School Diploma or Equivalent
  • Preferred: Bachelors in a Related Field
• Experience
  • Required: 3-5 Years experience working in the healthcare industry, insurance, legal and/or Managed Care industry.
• Skills
  • Working knowledge of contracts.
  • Experience in contracting, claims processing, filing, or coding in a provider office and/or clinic, legal, or insurance organization.
  • Proficient in all Microsoft programs, database experience preferred.
  • Ability to communicate effectively with different levels of management.
  • Ability to handle difficult situations professionally.
  • Ability to make routine decisions in accordance with departmental policies and procedures.
• Licensure/Certification/Registration
  • N/A

Benefits

• Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)