Contract and Data Management Specialist
*This is a 6-month contract position (Possibility of extension) – Remote (Can sit anywhere in the US)
*Monday – Friday, 8 am/9 am – 4 pm/5 pm CST preferred
Description
- Performs review and analysis of incoming contractual documents for completeness, historical activity, and timely, accurate provider record set-up and data entry.
- Communicates extensively with Field Network staff and Provider community regarding contract documentation questions and concerns
- Obtains missing documents/elements for processing.
- Determines appropriate network participation status
- Investigate the accuracy of network affiliations and contract/rate documents to ensure the accuracy of reimbursement to providers.
- Executes appropriate contractual documents
- Updates network affiliations in the provider database to reflect participation status, requests correspondence to providers to communicate contract status, and effective dates.
- Links group members to appropriate group practices.
- Ensures accuracy of TIN, service addresses, and network affiliation status based upon group network affiliations.
- Conducts investigations concerning historical associations with previous group practices and individual contracts.
- Researches and responds to providers and other internal staff regarding complex inquiries.
- Responds to requests to update or change information and ensures that all changes are made within operational guidelines to accurately support all other systems-related functions.
- Supports the implementation of new business by ensuring providers are appropriately and accurately loaded in all applicable systems.
- Supports the internal auditing process to ensure data accuracy and integrity.
- Ensures all assigned duties are completed within expected timeframes.
- Performs other duties and special projects as assigned.
Top 3 Must-Haves (Hard and/or Soft Skills):
- Data Management experience
- Contract management experience
- Experience working with Health insurance
Top Nice-To-Haves (Hard and/or Soft Skills):
- Excel Experience
- AS 400 Software experience
Experience:
- 1+ years of experience
Education:
- High School Diploma/GED
Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please you are ensure communicating within these guidelines and proper channels for the quickest possible interview consideration!
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