NaphCare, Inc. ยท 2 weeks ago
Claims Manager/Provider Relations Specialist
NaphCare, Inc. is a family-owned medical technology company delivering high-quality healthcare to correctional facilities across the nation. The Contract Management Specialist will play a critical role in negotiating reimbursement rates, implementing contracts, and supporting contracted physicians in a fast-paced environment.
Hospital & Health Care
Responsibilities
Assesses and completes market research for potential areas identified for comprehensive medical services for correctional facilities
Negotiates reimbursement rates and implements contracts with physicians and ancillary providers in geographically diverse areas for both existing and developing provider networks, including cold-calling medical providers
Coordinates the completion of provider contractual activities including the review of Requests for Proposals (RFPs), preparation of provider contract documentation, pricing documentation, and proposal submissions
Coordinates and attends start-up meetings with hospital and/or physician providers
Provides support to all contracted physicians
Qualification
Required
Must have one to two years of healthcare experience
Basic understanding of Medicare reimbursement required
Organized and detail-oriented
Strong verbal and written communication, negotiating skills
A strong customer service orientation
The ability to problem-solve
Ability to work effectively in a fast-paced, result-oriented environment
Ability to travel up to 25%
Preferred
Four year BA or BS degree is preferred
Three to five years of healthcare experience is preferred
Benefits
Prescriptions free of charge through our health plan
Health, dental & vision insurance that starts day one!
Lowest Cost Benefits! $44 for single, $105 for family!
Employment Assistance Program (EAP) services
401K and Roth with company contribution that starts day one!
Tuition Assistance
Referral bonuses
On-site education
Free Continuing Education!
Term life insurance at no cost to the employee
Generous paid time off & paid holidays