Health Provider Contracting Specialist

  • Experis IT
  • Remote (Northern California, CA, USA)
  • Jan 27, 2021
Contractor Admin-Clerical Customer Service Health Care

Job Description

Remote Opportunity for Experienced candidates in California!

Looking for candidates with 1 or more years experience in provider contracting for this outreach position.

Daily Activity will include:

  • Telephonic & email outreach to physicians/physician groups to discuss Medicare Advantage PPO contracting opportunities
  • Creating provider contract amendments to include the Medicare Advantage PPO product
  • Creating and/or updating provider records within the CLMS (Contract Lifecycle Management System) for the contract routing
  • Tracking and reporting updates specific to each provider, including outreach attempts, current status etc.
  • Communicate with/work with Network Managers regarding nuances of the physician/physician groups in question.

Must Have:

  • Excellent Written and Oral Communication Skills
  • Proficient with MS Office Applications
  • Self Starter/Self Motivated
  • Quick Learner
  • Strong Organizational and Time Management Skills
  • Contracting Experience should include:
    • created contracts between 2 parties, worked with contracts, receiving, processing, reviewing, appeals. how to interpret contracts. general knowledge of contracts in general.

Resume Should Reflect:

  • Provider Contracting Experience (Minimum 1 year)
  • Customer Service Experience with complex issues/resolutions
  • Strong Problem Solving Skills
  • Advanced Analytical Skills

This is a 1-year contract opportunity with possibility of extensions and potential conversion to perm.