Contract Specialist (ABA Admin Experience Preferred)

Job title: Contract Specialist (ABA Admin Experience Preferred) in Fullerton, CA at Alongside ABA
Company: Alongside ABA
Job description: Job SummaryThe Contract Specialist works in the billing department to manage and complete all aspects of credentialing, contracting, rate negotiations, and company directories. Additionally, this position supports the billing department to ensure smooth operations and compliance.QualificationsEducation:· Bachelor's degree in healthcare administration, business, or related field preferred; or equivalent work experience.Experience:· 2-4 years of experience in healthcare contracting, credentialing, or a related field.· Strong knowledge of credentialing systems (e.g., CAQH, NPPES) and healthcare contract negotiation processes.· Experience with healthcare management systems or software.Skills & Abilities:· Excellent organizational skills and attention to detail.· Strong written and verbal communication skills.· Ability to work collaboratively with cross-functional teams.· Familiarity with healthcare compliance regulations, insurance networks, and provider contracts.· Proficiency in MS Office Suite (Word, Excel, PowerPoint, Outlook) and database management.· Ability to manage multiple tasks and deadlines in a fast-paced environment.· Knowledge of relevant state and federal healthcare regulations.Key ResponsibilitiesCredentialing & NPPES Management:· Oversee the credentialing process for new (and existing) providers, ensuring all necessary documentation is submitted accurately and timely.· Manage and maintain updates to the National Plan and Provider Enumeration System (NPPES) for providers.· Handle updates and maintenance of CAQH profiles for the company and providers, ensuring all information is current and compliant with regulatory requirements.· Collaborate with cross-functional departments to ensure credentialed providers are appropriately staffed within the organization.Contracting:· Prepare, review, and manage healthcare contracts, ensuring compliance with company policies and industry regulations.· Facilitate the execution of agreements and renewals for various healthcare services.Rate Negotiations:· Assist in rate negotiations with insurance carriers, third-party payers, and healthcare networks, routinely.· Ensure that negotiated rates are aligned with the company's financial goals and service standards.Directories & Rosters:· Maintain accurate provider directories and rosters, ensuring that all data is correct and up to date for internal stakeholders and external parties.· Monitor and ensure the integrity of provider information across multiple platforms and databases.Billing Department Support:· Assist the billing team with any necessary documentation, billing, dispute resolutions, and other billing-related tasks as required.Reports toBilling ManagerWork EnvironmentThis position is primarily remote, with occasional in-person meetings at the office as needed.
Expected salary: $21 - 28 per hour
Location: Fullerton, CA
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