Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive understanding of healthcare contracts and reimbursement processes
- Work in a collaborative environment with various departments including Network Management and Analytics
- Engage in impactful projects that enhance operational efficiency
- Gain expertise in NetworX and other critical systems within the healthcare industry

What to Expect (Job Responsibilities):
- Manage the configuration of provider, facility, and ancillary rates within NetworX, ensuring accuracy and compliance with deadlines
- Collaborate with Network Management and Analytics for proper capture of negotiated contractual agreements
- Identify and resolve rate load issues to maintain operational integrity
- Analyze contracts to ensure reimbursement aligns with negotiated terms
- Coordinate with various departments to facilitate timely updates of contracts and address NetworX-related issues

What is Required (Qualifications):
- B.S. degree in Business Operations, Information Systems, or a related field
- 3-5+ years of relevant experience, preferably in a healthcare environment
- Strong familiarity with claims systems and interdependent applications
- Experience in managing provider, facility, and ancillary contract setups, maintenance, and auditing
- Excellent knowledge of medical terminology, Fee Schedules, and ICD/CPT/HCPCS coding

How to Stand Out (Preferred Qualifications):
- Additional experience or specialized training may be considered in lieu of educational requirements
- Understanding of Government reimbursement methodologies
- Strong attention to detail and excellent organizational skills
- Proficient in MS Office applications, including Word, Excel, PowerPoint, Outlook, Teams, and SharePoint

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