合同解决专家
Contract Resolution Specialist
设施：远程密苏里：1423北杰斐逊大道，斯普林菲尔德，密苏里，美国65802分区：1722科克斯健康网络计划周日时间：40小时：8:00-5:00工作转班：白天转班 （美国）CoxHealth 是为西南密苏里和北部阿肯色州25个县提供服务的领先医疗保健系统。该组织包括6家医院，5家急诊所和超过80家临床中心.CoxHealth 因职场卓越而获得了以下荣誉：·被评为现代卫生保健最好的工作地点之一五次。· 据新闻周刊和植物洞察集团评为美国最伟大的工作场所之一，卫生保健领域的最佳工作场所 (2025, 2026),妇女职业生涯中的最佳工作场馆 (2023, 2024),多样性方面的最佳工作场地 (2024). · 福布斯认可成为新年级最佳雇主之一。· 健康医疗创新的最佳公司在医疗保健领域的工作场所 (2025). 福利：医疗，视觉，牙科，与雇主退休等 （20+小时/星期）· 详细的福利列表，请点击这里：福利康克斯健康工作描述：合同专家的主要功能将是协助提供商解决任何合同网络问题。合同解决专家还将担任所有 CoxHealth 网络合约的培训员/教育工作者。他们必须自主创办，并以最小监督工作。需要一些地方旅行以及组织和举办会议。他们将拥有管理护理计划和 CoxHe Health 合约的深入的实操了解，以及它们如何涉及到医院/提供商办公室的成功运营。该职位的责任影响了该服务商业务的大约40%的收入周期。他们必须了解 CoxHealt Network 对独立提供商使用的消息传递流程的合法性。负责人必须能够分析和向提供商传达合同条款及其要求。他们将根据需要进行初步的及重认性现场审查，以及对提供商进行图表审计。责任包括但不限于：与特定合同有关的协议解决方案，政策和程序变化交付和解释，与保险行业相关的监管变化的必要情况沟通，对支付者医疗需求和覆盖方面的新技术研究，保持联系并提供服务。
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Facility:
Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802Department:
1722 CoxHealth NetworkScheduled Weekly Hours:
40Hours:
8:00-5:00Work Shift:
Day Shift (United States of America)CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
- Named one of Modern Healthcare’s Best Places to work five times.
- Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
- Acknowledged by Forbes as one of the Best Employers for New Grads.
- Healthcare Innovation's Top Companies to Work for in Healthcare (2025).
Benefits
- Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
- For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description:
The Contract Resolution Specialist primary function will be to assist network providers with any contractual issues. The Contract Resolution Specialist will also act as a trainer/educator of all CoxHealth Network contracts to the network providers and their staff. They must be a self-starter and work with minimal supervision. Some local travel is required along with organizing and hosting meetings when required. They will possess an in-depth working knowledge of managed care plans and CoxHealth contracts and how they pertain to successful operations of a hospital/provider’s office. The responsibility of this position impacts the revenue cycle for approximately 40% of the provider’s business. They must understand the legality of the messenger process CoxHealth Network uses for independent providers. They must be able to analyze and communicate contractual terms and their requirements to the provider. They will perform initial and recredentialing on-site reviews and chart audits for providers, as needed. Responsibilities include, but are not limited to; contract resolution, delivery and interpretation of policy and procedure changes as it relates to specific contracts, communication of regulatory changes as it relates to the insurance industry as needed, researching new technology with respect to payors medical necessity and coverage, Maintains contacts and provides educational information to network, tertiary/affiliate PHO networks that impact over 3000 providers/facilities. Able to organize, prioritize and multi-task to execute projects and day to day work flow. Education: ▪ Required: High School Diploma or Equivalent ▪ Preferred: Bachelors in a Related FieldExperience: ▪ Required: 3-5 Years experience working in the provider office, healthcare billing, healthcare insurance and/or Managed Care industry. ▪ Preferred: Previous experience in provider relations and/or physicians office management.Skills: ▪ Ability to understand complex multi-provider payor contract agreements and determine compliance standards are being adhered to.Licensure/Certification/Registration: ▪ N/AOriginally posted on Himalayas