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7

Network Contract Coord Sr

7fjdnw91pq69jlvngz1gp518iugamw00c66623tmx447r7e3lkr3gqqpqjhpy8mo · 30+ days ago

FL - OFF PREMISES - FLOP (HFLO, FL, US

$100k+
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Full-time

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Description:
Provides a single point of accountability for facilitating complex contract loading and ensuring optimal provider service delivery and database accuracy. Primary duties may include, but are not limited to: Identifies, analyzes, and resolves problems for multiple provider database issues. Researches and resolves complex issues for multiple business areas to assure accurate reimbursement based on provider contract and area fee schedules. Responsible for complex group assignments in a large geographic territory. Interprets update requests and coordinates with internal and external customers to clarify and complete the requests. Provides timely research of complex provider information and creates clear and concise provider database update submissions. Reviews incoming contracts and works with the provider relations reps, providers and the credentialing department to facilitate new and re-contracting efforts for Institutional, Professional, HMO and Ancillary products. Provides guidance and support to teammates on more complex issues. Requires a BA/BS degree in a related field; 5 years experience with provider contracts, plan procedures, and policies; or any combination of education and experience, which would provide an equivalent background. •

Last updated on Jun 2, 2023

About the company

7

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