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Healthcare Program/Contract Administrator - Great Hospital -$30.00

$30 per hour

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Job Description

Job Description

Healthcare Plan Contract Specialist - 1st Shift - full Time - Great Hospital - $30.00

•Compiles and researches LOIs and prepares documents for the LOI Committee meetings, including mapping to evaluate
network need.
•Monitors website for provider reimbursement changes on a monthly basis. Work with Contract Administrators to
prepare service forms when provider participation or reimbursement changes are identified.
•Prepares and sends provider welcome packets and denial letters.
•Receives and tracks internal and external services forms to ensure appropriate follow-up and response is completed within
five (5) business days.
•Implements database changes for providers within three (3) days of receipt from delegated entities.
•Prepare and process single case agreements.
•Prepare service

Skills:

•Knowledge of the managed healthcare environment.
•Ability to utilize computer word-processing, spreadsheet, and database software.
•Candidate should possess exceptional written and oral communication skills.

Education:

High School Diploma or GED- Required                                     

2 health care or managed healthcare experience.- Required                                         

Vacancy posted 2 days ago
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