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.
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
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
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 email@example.com
Thanks for your interest in working with Randstad, the world's largest staffing company!
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