Reimbursement Contract Specialist- Belmont, NC

Onsite Location(s)

Compleat Kidz - Belmont Clinic
54 Myrtle St , Belmont, NC 28012

Onsite Options

• Domestic

Description
Who We Are
We are one of the fastest growing networks of clinics in North Carolina, and we need someone who can check the following boxes:
___ You CAN find the needle in the haystack
___ You often read the fine print first

About the Job
The Reimbursement Contract Specialist (RCS) supports with payor contract review and provides guidance to stakeholders on payor contract information. This requires management of internal resources pertaining to contract reimbursement information and a high level of written and oral communication. The RCS reviews payor contracts and amendments. They also provide consultation, education and training on contract requirements to Admissions and RCM teams. They also provide timely and accurate information regarding payor reimbursement methodologies, rates and policies. Additionally, the RCS manages payor contract and amendment reimbursement related reference materials and other supporting documentation on company intranet sites.

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Requirements*
Must have experience and thorough understanding of Payor Contracts
Reimbursement experience (RCM related)
Advanced knowledge of health insurance plans: Managed Care Organizations, PPO, POS, Self-Funded, TPAs and providers at financial risk (hospital/health systems, medical group/IPA).
Experience in creation of training material and procedures (SOPs)
Experience loading pricing or fee schedules required.
Knowledge of HIPAA, federal, state, and local regulations related to healthcare providers.
Proficiency in Microsoft Excel
Pay
$17-$23 Based on Experience
Benefits
Medical • Dental • Vision • 401k w/ company match • Paid vacation/holidays
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Disclaimer*
This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
Kare Partners is an Equal Employment Opportunity Employer that values and encourages diversity.

Pay: $17.00 - $23.00 per hour