Contract Specialist

TAG - The Aspen Group

1d•$73 - $82

About The Position

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 46 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of four consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet. Each brand has access to a deep community of experts, tools, and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth, we are very pleased to offer an opportunity to join our accounting team as Contract Specialist. The Contract Specialist plays a vital role within our Payor Strategy Team. The successful candidate will report to the Senior Manager of Payor Strategy. The Contract Specialist Team oversees all operational aspects of our insurance contract portfolio.

Requirements

Bachelor's degree
2-4 years of relevant experience with exposure to operational side of insurance (dental or medical)
Broad knowledge of healthcare insurance, physician billing and reimbursement, administration, systems, practices and principles, (i.e. Medicaid, Medicare, Medicare Advantage, and Commercial.)
Excellent verbal & written communications
Excellent time management, prioritization, and organizational skills a must.
Detail oriented with a strong level of analytical, and problem-solving skills
Proficient use of Microsoft Office Suite.

Responsibilities

Develops and maintains effective working relationships with insurance company contacts.
Act as primary point of contact for assigned region/plan(s) on issues related to the insurance participation or concerns.
This role is responsible for effectively triaging and resolving operational issues for both our internal clients as well as our insurance plan partners.
Manage the implementation and communication of contracts in assigned markets.
Triage issues between insurance plan and Aspen offices to ensure validity and work with all parties until fully resolved.
Work with Senior Manager/Leadership to identify opportunities for enterprise-wide field education + assist in creation of educational resources.
Monitor contract performance and other provisions to assure compliance, identify problem areas, and resolve disputes.
Resolve escalated contract issues generated by operational department heads.
Other duties as assigned.