Network Contract Specialist
CurrentCommunicate with hospitals to articulate and confirm interpretation of contract language.Facilitate successful resolutions to claim disputes from providers and third party administrators.Generate, manipulate, and analyze data to create compensation proposals for hospitals and ancillary providers.Create and maintain Excel spreadsheets to support claim re-pricing and contract analyses.Create and maintain Access databases to support negotiations, network summaries and operations.Facilitate interdepartmental meetings to discuss the operational soundness of contracts. Hold responsibility for documentation and reporting of hospital compensation changes.Analyze financial impact for hospital contract negotiations.Participate in identifying, designing and testing system enhancements.Create and maintain system training manual and policy and procedure documents.Process and manage sensitive information. Manage projects related to annual coding updates.Met quarterly goals for fourteen consecutive years.
