Network HealthPlan Practice & Ancillary Contracting - Ft. Worth, TX
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Education
Bachelor's Degree Business, Finance or a related field Required
Experience
2 years relevant Provider Contracting experience with prior demonstrated success in Provider Contracting with both Large Physician Groups and Ancillary Providers Required and
3 years’ experience in performing Network Adequacy Analysis Required and
In-depth knowledge of Medicare Reimbursement Methodologies, i.e. Resource Based Relative Value System (RBRVS) with at least an intermediate level of knowledge of Claims Processing Systems and Guidelines Required
Skills
Must be proficient in relevant computer applications such as Microsoft Office
Must be detail oriented
Must be dependable, exhibit strong initiative, and be self-motivated
Must possess excellent communication skills
Must be able to frequently problem solve, make decisions, interpret data, organize and analyze work flow, write, plan, and use simple arithmetic.
Supervision
Individual Contributor
ADA Requirements
Working Indoors 67% or more
Physical Demands
Sedentary
The ideal candidate will possess the following qualifications:
Bachelor's Degree Business, Finance or a related field Required
Experience
2 years relevant Provider Contracting experience with prior demonstrated success in Provider Contracting with both Large Physician Groups and Ancillary Providers Required and
3 years’ experience in performing Network Adequacy Analysis Required and
In-depth knowledge of Medicare Reimbursement Methodologies, i.e. Resource Based Relative Value System (RBRVS) with at least an intermediate level of knowledge of Claims Processing Systems and Guidelines Required
Skills
Must be proficient in relevant computer applications such as Microsoft Office
Must be detail oriented
Must be dependable, exhibit strong initiative, and be self-motivated
Must possess excellent communication skills
Must be able to frequently problem solve, make decisions, interpret data, organize and analyze work flow, write, plan, and use simple arithmetic.
Supervision
Individual Contributor
ADA Requirements
Working Indoors 67% or more
Physical Demands
Sedentary