The Job Holder
Providence Health & Services
Fortune St. Joseph Health is calling a Contract Specialist to our area in Irvine, CA.
We are looking for a Contract Specialist to be in charge of getting, deciphering and comprehending complex issues emerging from Agreements with payers. Admissions oversaw care activities issues, creates activity plans and resolves operational issues inside characterized time parameters. In charge of keeping up the exactness and honesty of the agreement reports inside contract the executives framework and shared drives.
In this position you will:
Work intimately with key partners to determine operational issues in indicated periods identified with payer and supplier contracts.
Demonstrate a solid comprehension of agreement structure and terms. Fills in as facilitator for the goals of complex contract elucidation. Interface with payors on questions identified with contract translation.
Use solid relational abilities, both composed and oral required to inquire about, distinguish the main driver by conveying at different levels inside the association, combining the issues, and sharing the goals.
Use solid associations aptitudes required to oversee and organize work including different needs simultaneously. Following and imparting current remaining task at hand and open issues all the time to key partners and pioneers.
May take an interest with moderators during contract arrangements, on payer issues.
Track issues distinguished by Revenue Cycle and different partners, where the framework can't be set up accurately to regulate language effectively. As a team with key partners create a redress activity plan.
Bolster the yearly payer contract restoration, CDM and payer notice process.
Guarantee contracts are stacked opportune and precisely into both shared drive and Contract Management System.
In charge of generally contract report upkeep.
Required capabilities for this position include:
Partner's degree in the firmly related zone or identical Educ/experience.
2 years of involvement with payer charging, accumulations and repayment procedures and contract language necessities.
Middle of the road level working within Microsoft Suites, including Outlook, Word, Excel.
Favored capabilities for this position include:
Four-year certification in the firmly related territory.
About the office, you will serve.
Provision Strategic and Management Services gives an assortment of useful and framework bolster administrations for each of the eight districts of Providence St. Joseph wellbeing from Alaska to California. We are centered around supporting our Mission by conveying a strong establishment of administrations and sharing of a particular skill.
We offer a full far-reaching scope of advantages - see our site for subtleties
As articulations of God's mending love, saw through the service of Jesus, we are unfaltering in serving all, particularly the individuals who are poor and defenseless.
Provision Health and Services is a not-revenue driven Catholic system of medical clinics, care focuses, wellbeing plans, doctors, facilities, home medicinal services and administrations guided by a Mission of minding the Sisters of Providence started more than 160 years back. Fortune is glad to be an Equal Opportunity Employer. Fortune does not segregate based on race, shading, sex, inability, veteran, military status, religion, age, ideology, national beginning, sexual character or articulation, sexual direction, conjugal status, hereditary data, or some other premise disallowed by neighborhood, state, or government law.
Employment Category: Billing/Insurance
Req ID: 231358
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