Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, May 08, 2024
This job expires in: 9 days
Job Summary
A company is looking for a Provider Operations Specialist.
Key Responsibilities:
- Assist with loading and testing provider contracts
- Coordinate contract rate updates and handle claims pricing inquiries
- Ensure adherence to contract terms, review provider data, and contribute to quality improvement
Required Qualifications:
- Associates Degree
- 1+ years experience in a managed care/health care environment
- Extensive Professional Provider and/or Facility reimbursement experience
- Experience creating fee schedules and understanding complex provider contracts
- Functional knowledge of payment methodology and experience with contract loading systems
