Physician Contract Specialist

Job Summary

A company is looking for a Physician and APP Contract Specialist.

Key Responsibilities

• Collect and assimilate payer contract information to support contract implementation, operations, and customer service functions
• Develop and maintain contract summaries to support internal education and operational compliance with contract terms
• Assist in researching issues and recommend resolutions to escalated claim payment, reimbursement, and operations issues

Required Qualifications

• Bachelor's Degree in Health Information Management, Healthcare Administration, or Business Administration
• 5+ years of related experience and/or training, or equivalent combination of education and experience
• Minimum five (5) years of related experience and/or training
• Experience with commercial payers contracts, payment variance, policies, and contract methodologies