Providers Contract Specialist at Zolon Tech Solutions, Inc.

Philadelphia, PA

Title : Providers Contract Specialist
Location : Philadelphia, PA
Duration : 04 Months

Job Description:

Remote
The Contract Specialist ensures contract data and documents are represented correctly in all plan operating systems, functions as a pro-active contract administrator and coordinates resolution of contract administration issues relating to loading of contracts:
Responsible for provider contract management:
Demonstrates a functional knowledge of managed care provider types, contract types and reimbursement methodologies.
Responsible for escalating requests contrary to established business processes or contract language for resolution.
Knowledge of Managed Care concepts.
3 years Medicaid experience preferred; 1 year in a Provider Services position
5 years in the managed care/health insurance industry
Previous experience working with healthcare providers.
Previous provider relations experience preferred.
Excellent knowledge of contract administration.
Excellent knowledge of provider record management.

Thanks & Regards,
Ian Basha
Zolon Tech