41 Jobs in springfield, mo
CoxHealth is Hiring a Resolution specialist Near Springfield, MO
Summary
- Best in Class Work Environment
- 5x Modern Healthcare Best Places to work
- America’s Greatest Workplaces 2023 Newsweek
- Greatest Workplace for Women 2023 - Newsweek
- Benefits
- Robust, fully customizable benefits package including Medical / Vision / Dental and more!
- No cost eCare visits
- Employer-provided mental health services for employees and eligible family members
- Retirement with employer match
- Tuition discounts and reimbursement available for continuing your education
- Free and convenient parking
- CoxHealth Fitness Center and Child Care discounts
- Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
Job Summary
The Contract Resolution Specialist primary function will be to assist network providers with any contractual issues. The Contract Resolution Specialist will also act as a trainer / educator of all CoxHealth Network contracts to the network providers and their staff.
They must be a self-starter and work with minimal supervision. Some local travel is required along with organizing and hosting meetings when required.
They will posses an in-depth working knowledge of managed care plans and CoxHealth contracts and how they pertain to successful operations of a hospital / provider’s office.
The responsibility of this position impacts the revenue cycle for approximately 40% of the provider’s business. They must understand the legality of the messenger process CoxHealth Network uses for independent providers.
They must be able to analyze and communicate contractual terms and their requirements to the provider. They will perform initial and recredentialing on-site reviews and chart audits for providers, as needed.
Responsibilities include, but are not limited to; contract resolution, delivery and interpretation of policy and procedure changes as it relates to specific contracts, communication of regulatory changes as it relates to the insurance industry as needed, researching new technology with respect to payors medical necessity and coverage, Maintains contacts and provides educational information to network, tertiary / affiliate PHO networks that impact over 3000 providers / facilities.
Able to organize, prioritize and multi-task to execute projects and day to day work flow.
Job Requirements
Education
Required : High School Diploma or Equivalent
Preferred : Bachelors in a Related Field
Experience
Required : 3-5 Years experience working in the provider office, healthcare billing, healthcare insurance and / or Managed Care industry.
Preferred : Previous experience in provider relations and / or physicians office management.
Skills
Ability to understand complex multi-provider payor contract agreements and determine compliance standards are being adhered to.
Licensure / Certification / Registration
N / A
Last updated : 2024-05-29
Job Summary
Full Time
Ambulatory Healthcare Services
$62k-82k (estimate)
05/31/2024
08/30/2024
coxhealth.com
FREEMONT HILLS, MO
7,500 - 15,000
1906
$10B - $50B
Ambulatory Healthcare Services
Related Companies
The job skills required for Resolution specialist include Billing, etc. Having related job skills and expertise will give you an advantage when applying to be a Resolution specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Resolution specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Resolution specialist positions, which can be used as a reference in future career path planning. As a Resolution specialist, it can be promoted into senior positions as a Client Service Specialist IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Resolution specialist. You can explore the career advancement for a Resolution specialist below and select your interested title to get hiring information.
Similar Jobs
Popular Articles
