What are the responsibilities and job description for the Medical Contract Negotiation Specialist position at BilliMD?
Location : Doral, FL (Onsite)
Pay : $55,487 - $62,563 per year
Position Overview
BilliMD is seeking a highly skilled Medical Contract Negotiation Specialist to manage and negotiate contracts with insurance payers, healthcare networks, and other third-party entities. This critical role focuses on securing optimal reimbursement terms for our providers while ensuring compliance with regulatory standards.
If you have expertise in healthcare contracting and a strong ability to analyze and negotiate favorable terms, we’d like to hear from you!
Key Responsibilities
- Contract Negotiation :
- Initiate, negotiate, and finalize contracts with payers, securing favorable reimbursement rates and terms.
- Rate Analysis & Benchmarking :
- Analyze proposed rates against industry standards and identify opportunities for improvement.
- Provider Enrollment Support :
- Assist in provider onboarding, aligning contract terms with credentialing requirements.
- Relationship Management :
- Build and maintain strong relationships with payer representatives to support ongoing negotiation efforts.
- Compliance & Risk Management :
- Review contract language to ensure adherence to legal and regulatory requirements.
- Data Analysis & Reporting :
- Monitor performance, reimbursement trends, and payer compliance; prepare insights for leadership.
- Collaboration :
- Partner with Credentialing, Billing, and Operations teams to ensure smooth contract implementation.
- Issue Resolution :
- Resolve disputes related to terms, reimbursement, or payer compliance.
- Renewals & Amendments :
- Manage contract timelines, initiating renewals and updates to maintain provider relationships.
Qualifications
Schedule
Requirements
Why Join BilliMD?
We are a growing company dedicated to providing innovative solutions in the healthcare industry. Join our team and make a meaningful impact by contributing to the success of our providers and clients.
Work Location : Onsite in Doral, FL
Salary : $55,487 - $62,563