Contract Specialist

Miami Jewish Health System • Miami, FL

40d • Onsite

About The Position

This position is primarily responsible for entering and maintaining contracts within the claim adjudication system. Additional responsibilities include updating provider communications, preparing monthly premium letters for participants, assisting with claim holds, securing "V" AP numbers, and providing support in various areas of the PACE Business Office.

Requirements

• High school diploma or equivalent
• Associate degree preferred
• Minimum two years of experience in customer service in the medical field in a fast-paced environment
• Must have strong data entry skills.
• Knowledge of Windows, Microsoft Outlook, Excel, and Word is essential
• Must be able to work independently and have good organizational skills
• Essential to have people skills always to maintain the highest level of professionalism
• English and Spanish, reading, writing, and speaking professionally.

Responsibilities

• Enter contract terms, rates, and other relevant data into contract management systems and databases.
• Assist the business office with onboarding new providers.
• Submit requests to secure accounts payable "V" numbers for new contracts.
• Generate and send monthly premium letters to participants.
• Draft and send communications to providers.
• Support the business office manager in maintaining the provider portal.
• Hold claims in the claims adjudication system when a participant is dropped.
• Perform other tasks as assigned.

Benefits

• We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees