Contract Specialist

Job Summary

A company is looking for a Contract Specialist responsible for handling physician contract negotiations and managing inquiries related to pre-claims and out-of-network contracts.

Key Responsibilities

• Manage facility, provider, and client inquiries regarding pre-claims and OON physician contract requests
• Secure signed agreements for reimbursement with providers and maintain relationships with central providers
• Research claims and determine cost-saving opportunities and pricing optimization strategies

Required Qualifications

• Minimum high school diploma with two years of experience in a medical healthcare claims role
• Background in healthcare claims management, including provider hospital billing and claims adjudication
• Demonstrated negotiation experience and a proactive, self-starter attitude
• Ability to manage high call volume and work effectively in a fast-paced environment
• PC literate, including proficiency in Microsoft Office products and web-based applications