Contracts Administrator
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Job Location:
Durant, IA - USA
Monthly Salary:
Not Disclosed
Posted on:
21 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Summary: As the Contracts Administrator you will oversee the health systems revenue-generating contracts and provider enrollments. You will complete third-party contracts and provider enrollments to increase revenue including contracting with Medicare and Medicaid. You will report to the Manager.
PG12 Schedule: Monday through Friday 8:00am to 4:30pm
Weekly Earned Wage Access is an Option for this Position
**Applicants may email an introductory video if they wish to submit one to
Primary Tasks:
1. Analyze requirements and provisions in revenue contracts to ensure compliance with regulations Choctaw Nation Health Services policies and tribal sovereignty protections.
2. Monitor the performance of assigned contracts and ensure our goals are met by implementing contract management and reporting discrepancies.
3. Prepare status reports and review contracts.
4. Enroll and contract CNHSA providers with Medicare Medicaid MCO(s) and other commercial payers.
5. Develop framework to renew and re-evaluate third-party payer contracts and provider enrollments promptly.
6. Communicate with internal departments to ensure access to all contractual data to enroll and bill third-party payers for services performed.
7. Assist internal billing with issues related to contracting and appeals.
8. Communicate with external entities to acquire necessary data.
9. Review healthcare reform and insurance carriers policies; attend meetings regarding provider enrollments contracting and revenue or third-party reimbursement.
10. Perform other duties as assigned.
Required Education and Experience:
Bachelors degree in finance business or health related field
Experience with public speaking and presentations
Experience in analytics and reporting
Three 3 years experience in health contract preparation and management
Responsibilities
1. Analyze requirements and provisions in revenue contracts to ensure compliance with regulations Choctaw Nation Health Services policies and tribal sovereignty protections. 2. Monitor the performance of assigned contracts and ensure our goals are met by implementing contract management and reporting discrepancies. 3. Prepare status reports and review contracts. 4. Enroll and contract CNHSA providers with Medicare Medicaid MCO(s) and other commercial payers. 5. Develop framework to renew and re-evaluate third-party payer contracts and provider enrollments promptly. 6. Communicate with internal departments to ensure access to all contractual data to enroll and bill third-party payers for services performed. 7. Assist internal billing with issues related to contracting and appeals. 8. Communicate with external entities to acquire necessary data. 9. Review healthcare reform and insurance carriers policies; attend meetings regarding provider enrollments contracting and revenue or third-party reimbursement. 10. Perform other duties as assigned.
Qualifications
Bachelors degree in finance business or health related field Experience with public speaking and presentations Experience in analytics and reporting Three 3 years experience in health contract preparation and management
Required Experience:
Unclear Seniority
Key Skills
- Facilities Management
- ADMA
- Heavy Bus Driving
- AXA
- Building Services
- Courier Delivery
