Contract Ops Spec

Aabana

Base: $28.55 - $42.85; bonus/equity: not specified...
Not specified
Managed care reimbursements
Payment discrepancy analysis
Third party software utilization
Aabana is seeking a Contract Operations Specialist to analyze and audit Managed Care reimbursements, ensuring compliance with payment terms and improving revenue cycle processes. The role requires a Bachelor's degree and three years of experience in managed care contracting, with strong analytical and communication skills essential for success

Job Summary

  • Analyzes and audits Managed Care reimbursements of designated contracts to ensure payor's compliance with payment terms.
  • Serves as a liaison, and effectively communicates with providers, physicians, payors, consultants, agents, and Aurora departments.
  • Effectively educates and trains staff on managed care principles, contract requirements and administration procedures to maximize revenue.

Matching Summary

Match Score: 85

Aabana is seeking a Contract Operations Specialist to analyze and audit Managed Care reimbursements, ensuring compliance with payment terms and improving revenue cycle processes. The role requires a Bachelor's degree and three years of experience in managed care contracting, with strong analytical and communication skills essential for success.

Salary

Base: $28.55 - $42.85; Bonus/Equity: Not specified; Benefits: Comprehensive suite of Total Rewards

Skills & Requirements

Must-have

  • Managed care reimbursements
  • Payment discrepancy analysis
  • Third party software utilization
  • Excel spreadsheet development
  • Contractual obligation monitoring
  • Provider and payor communication

Nice-to-have

  • Revenue opportunity identification
  • Process improvement initiatives
  • Maximizing revenue through education
  • Internal customer resource

Key Requirements

  • Bachelor's Degree in Health Care Administration or related field
  • 3 years of experience in managed care contracting
  • Strong working knowledge of managed care contracting
  • Intermediate proficiency in Microsoft Office (Excel, Word, Access)

Work Rights

Not specified

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