Contract and Data Management Specialist
Remote Location Hazelwood, MO 63043 US
Job Description
Contract and Data Management Specialist
**Address:**
Maryland Heights, MO
**Schedule:**
Verify with a Recruiter or Staffing Manager!
**Job Description**
• Responsible for all duties associated with contract administration including timely, accurate data entry and maintenance of provider records in multiple databases.
• Researches and resolves questions, complaints, and ensures that information in all databases is accurate and properly configured to support operations.
• May help train lower level peers.
• Performs review and analysis of incoming contractual documents for completeness, historical activity, and timely, accurate provider record set-up and data entry.
• Communicates extensively with Field Network staff and Provider community regarding contract documentation questions and concerns; obtains missing documents/elements for processing.
• Determines appropriate network participation status; investigates accuracy of network affiliations and contract/rate documents to ensure accuracy of reimbursement to providers.
• Executes appropriate contractual documents; updates network affiliations in the provider database to reflect participation status, requests correspondence to providers to communicate contract status and effective dates.
• Links group members to appropriate group practices.
• Ensures accuracy of TIN, service addresses, and network affiliation status based upon group network affiliations.
• Conducts investigations concerning historical associations with previous group practices and individual contracts.
• Researches and responds to providers and other internal staff regarding complex inquiries.
• Responds to requests to update or change information and ensures that all changes are made within operational guidelines to accurately support all other systems related functions.
• Supports the implementation of new business by ensuring providers are appropriately and accurately loaded in all applicable systems.
• Supports internal auditing process to ensure data accuracy and integrity.
• Ensures all assigned duties are completed within expected timeframes.
• Performs other duties and special projects as assigned.
**Critical Information**
• Verify with a Recruiter or Staffing Manager!
**Education/Licenses Needed**
• Verify with a Recruiter or Staffing Manager!
**Benefits:**
• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.
• This is an AI-Formatted job description; therefore, this does not remove human decision-making.