Remote Jobs

Contract Specialist PHO


PayCompetitive
LocationMissouri
Employment typeFull-Time
  • Job Description

      Req#: R12687
      Employer Industry: Healthcare System

      Why consider this job opportunity:
      - Salary up to competitive pay
      - Opportunity for career advancement and growth within the organization
      - Comprehensive benefits including medical, vision, dental, and retirement plan with employer match
      - Recognized as one of the best workplaces for diversity and for women
      - Supportive and collaborative work environment
      - Flexibility of remote work from anywhere within Missouri

      What to Expect (Job Responsibilities):
      - Review and understand various contracts, including provider, workers compensation, and managed care agreements
      - Develop and implement contract ranking and tracking systems
      - Prepare contract summaries, payor notices, and updates while troubleshooting contract issues
      - Facilitate communication between employer groups, third-party administrators, and office staff
      - Maintain complex spreadsheets of financial and reimbursement data for management

      What is Required (Qualifications):
      - Minimum educational requirement: High School Diploma or Equivalent
      - 3-5 years of experience in the healthcare, insurance, legal, or managed care industries
      - Working knowledge of contracts and experience in contracting, claims processing, or coding
      - Proficient in all Microsoft programs; database experience preferred
      - Strong communication skills and ability to handle difficult situations professionally

      How to Stand Out (Preferred Qualifications):
      - Bachelor's degree in a related field
      - Experience working in a provider office, clinic, legal, or insurance organization
      - Ability to make routine decisions in accordance with departmental policies and procedures
      - Strong organizational and multitasking skills

      #Healthcare #ContractSpecialist #RemoteWork #CareerOpportunity #HealthcareCareers #Benefits

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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