Payer Contract Specialist

Job Summary

A company is looking for a Payer Contract Specialist to support managed care contract implementation and compliance.

Key Responsibilities

• Collect and assimilate managed care contract information for implementation and compliance monitoring
• Act as an internal resource for community hospitals and other departments, providing contract-specific information and issue resolution
• Manage and track escalated issues related to claim payment and reimbursement, making recommendations for resolution

Required Qualifications

• Bachelor's Degree in Business, Marketing, Healthcare, or a related field OR High School Diploma/GED with three years of related experience
• Strong desktop computer skills (Word, Excel, Access, PowerPoint, Outlook)
• One year of managed care or provider relations experience (preferred)
• Knowledge of the contracting process and managed care (preferred)
• Experience with processing insurance claims and negotiating insurance contracts (preferred)