Healthcare Contract Management Specialist 83k

Aston Carter•Honolulu, HI

11h•$30 - $40•Onsite

About The Position

The role ensures providers are properly credentialed, enrolled, and contracted with insurance payors so that claims are paid correctly and revenue is not delayed. It serves as a bridge between contracting, credentialing, billing, compliance, and operations.

Requirements

Minimum 2 years of experience in: Provider enrollment, Credentialing, Payor contracting

Nice To Haves

Associate's or Bachelor's degree in: Healthcare Administration, Business, Related field
Equivalent experience may be considered.

Responsibilities

Complete provider enrollment and recredentialing with: Commercial insurance plans, Medicare, Medicaid, Managed care organizations
Maintain provider data in: CAQH, PECOS, NPPES, State licensing systems
Support audits, roster submissions, and provider directory compliance.
Maintain payor contracts, fee schedules, and effective dates.
Track amendments, renewals, and reimbursement rate changes.
Ensure provider directory information is accurate and compliant.
Research and resolve claim denials related to credentialing or contracting issues.
Work closely with billing and accounts receivable teams.
Identify enrollment delays and implement workflow improvements.
Act as the primary contact with insurance payors regarding enrollment and contract matters.
Provide courteous and professional service.
Maintain confidentiality.
Collaborate effectively across departments.
Demonstrate fairness, integrity, and accountability.