Physician Contract Specialist

  • location: Anaheim, CA
  • type: Temp to Perm
  • salary: $32 - $33 per hour
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job description

Physician Contract Specialist

Randstad is hiring a PHYSICIAN CONTRACT SPECIALIST to work with our client, a leading network of Healthcare Providers and Facilities.

This is a temp to perm role. Employee will start out working with a current employee who is retiring at the end of the year. Depending on performance the talent will then convert to perm.

This position is part of the claims dept leadership team. Participation in negotiation of contracts with providers.

Responsibilities:
Develop and maintain standards for loading contracts and fee schedules through management and oversight of implementation of provider contacts
Primary internal team contact for interpretation of provider contracts
Make any necessary changes to support claims processing and accurate costs per claim
Investigate and resolve any claims payment issues related to contracts

Working hours: 8:00 AM - 5:00 PM

Skills:
5 years minimum claims processing experience with participation in provider contracting
3 years minimum managed care experience
Familiarity with medical/hospital coding (RBRVS, CPT, ICD-9, HCPCS DRG, APC) and standard billing formats (HCFA 1500, UB-92)
Microsoft Office Suite proficiency

Education:
Associate

Experience:
Experienced

Qualifications:
High school degree or equivalent
Bachelor's degree not required but must have 3 years of managed care participating in physician contracting.


Interested? Please apply now!
For more immediate consideration, please email a current resume to iris.levy@randstadusa.com

Thanks for your interest in working with Randstad, the world's largest staffing company!

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law. San Francisco Fair Chance Ordinance: Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

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