Overview
On Site
Contract - W2
Skills
Health Care
Insurance
Management
Information Systems
Auditing
Reporting
Internal Control
SAP BASIS
Database
Regulatory Compliance
Job Details
Position Purpose:
Assist with the contract preparation, contract submission process, auditing of provider information systems (AMISYS), and tracking provider compliance.
Education/Experience:
High school diploma or equivalent. 2+ years of experience, preferably in the healthcare or insurance industry, including experience managing large databases and experience with provider information systems. Auditing experience preferred.
Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports.
Maintain and report on the companys compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.
Support the contract submission process to ensure confirmation with Corporate standards, provide support to the Contract Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts.
Maintain and update on a routine basis the contract databases.
Produce reports.
Coordinate the Corporate wide data verification process for contracted providers.
Track and monitor provider compliance with contract deliverables.
Interface with the credentialing staff to ensure all data systems are congruent.
Performs other duties as assigned
Complies with all policies and standards
IND 123
Assist with the contract preparation, contract submission process, auditing of provider information systems (AMISYS), and tracking provider compliance.
Education/Experience:
High school diploma or equivalent. 2+ years of experience, preferably in the healthcare or insurance industry, including experience managing large databases and experience with provider information systems. Auditing experience preferred.
Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports.
Maintain and report on the companys compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.
Support the contract submission process to ensure confirmation with Corporate standards, provide support to the Contract Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts.
Maintain and update on a routine basis the contract databases.
Produce reports.
Coordinate the Corporate wide data verification process for contracted providers.
Track and monitor provider compliance with contract deliverables.
Interface with the credentialing staff to ensure all data systems are congruent.
Performs other duties as assigned
Complies with all policies and standards
IND 123
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.