CONTRACT SPECIALIST - MANAGED CARE CONTRACTING Job at Hoag Memorial Hospital Presbyterian
Hoag Memorial Hospital Presbyterian Costa Mesa, CA 92626
$31.04 - $47.73 an hour
Salary Range: $31.0400 - $47.7300 /hour
Job Summary
Maintains the Hoag Network contracting operational process for the Managed Care Contracting Department. Distributes all new and amended PPO/HMO/Ancillary agreements to internal/external stakeholders as applicable. Responsible for the ongoing maintenance and testing of Hoag Network contracts in EPIC. Responsible for ongoing audits of contract reimbursement terms working with payors to address all reimbursement issues. Maintains contract files and online access to contracts and various databases, coordinates flow of contract documents for signature throughout the organization, communicates Contract Information to internal and external customers, provides administrative assistance if needed. Performs other duties as assigned.
Education and Experience
High School diploma and three years experience in an office setting, preferably in health care or managed care.
Understanding of health insurance plans (HMO, PPO, etc.).
Two years of college preferred
Licenses: N/A
Certifications: N/A
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