Job description

Pay Rate: $30/hr on W2 Must-Have: • Must have a Laptop/computer with internet to work from home. • Comfortable providing a Photo ID Copy Terms of Employment: • Contract, 9 months • This position is hybrid. Resource must periodically go into the office to facilitate a mailing campaign and attend onsite team meeting. • The office is located in Baltimore, MD. Overview: Our client is seeking two (2) Provider Networking Contracting Representatives to join their team. The Provider Networking Contracting Representatives will provide administrative and coordinative support for provider contracting and initiatives. This role will manage escalated and complex inquiries from network providers and care partners regarding Medicare, Medicaid, Commercial and DSNP contracts. The Representative will collaborate with functional teams to deliver timely and professional responses to all inquiries. Responsibilities: • Manage contracting email boxes. • Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as internal requests and bring to resolution in a timely manner, or escalate to an accountable party. • Follows up to ensure resolution and/or assists with tasks to support resolution. • Supporting and organizing contracting related workflows including but not limited to: Carrying out ad hoc mailings, uploading and printing of contracts, updating fee disclosures, editing/updating templates, gathering documentation for audits or other regulatory requirements, researching returned mail and triaging complaints/inquiries. • Update and maintain supporting documentation, process and standard operating procedures for the department. • Provides regular updates to management with regard to identified and outstanding issues or trends. • Maintain in-depth knowledge of insurance plans, product offering and reimbursement models. • Stays abreast of changes and trends in healthcare • Other duties related to provider contracting and network management as assigned. Required Skills & Experience: • High School Diploma or GED • Proficiency with Microsoft Office 365 to include proficient and successful utilization of Word, Excel, Outlook and teams. • A strong interest in understanding the healthcare industry, health environment, health insurance payer environment. • Robust understanding of health benefits. • Strong organizational skills. • Effective writing skills. • Deadline driven with a sense of urgency. • Great customer service skills.

Requirements