Communication Skills, Contract Management, Database Management Software/Systems (DBMS), Healthcare Management, Managed Care, Presentation/Verbal Skills, Reimbursement, Spreadsheets, Web Site Monitoring, Word Processing, Writing Skills
- Job Title: Contract Specialist
- Location: Bellaire, TX 77401 (On Site)
- Duration: 08 weeks, Contract
- Required: 2 health care or managed healthcare experience.
Job Duties:
"Compiles and researches LOIs and prepares documents for the LOI Committee meetings, including mapping to evaluat network need.
"Monitors TMHP website for provider reimbursement changes on a monthly basis. Work with Contract Administrators to prepare service forms when provider participation or reimbursement changes are identified.
"Prepares and sends provider welcome packets and denial letters.
"Receives and tracks internal and external services forms to ensure appropriate follow-up and response is completed within five (5) business days.
"Implements database changes for providers within three (3) days of receipt from delegated entities.
"Prepare and process single case agreements.
Skills:
"Knowledge of the managed healthcare environment.
"Ability to utilize computer word-processing, spreadsheet, and database software.
"Candidate should possess exceptional written and oral communication skills.
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eTeam Inc.
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