Contract Specialist

Dec 19
Contract
Bellaire, Texas

Contract Specialist (Healthcare)                   

Bellaire, TX

 

Overview:

USPRO is looking for a proven Contract Specialist to work with a healthcare client of ours in the Bellaire, TX area. This individual will compile and research LOIs and prepare documents for the LOI Committee meetings, including mapping to evaluate network need.
 

 

Employment type: Contract

Duration: 3 months+

Openings: 1

Shifts: Days

 

 

 

Responsibilities:

  • Compiles and researches LOIs and prepares documents for the LOI Committee meetings, including mapping to evaluate network need.
  • Monitors TMHP 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 of receipt from delegated entities.
  • Prepare and process single case agreements.
  • Prepare service
 
 
 

Qualifications:

 

  • High School Diploma or GED- Required
  • 2 years of health care or managed healthcare experience. - Required
  • 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. receipt from delegated entities.

 

 

SUBMIT RESUME

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