Contracting Database Loader - Apple Valley, United States - Choice Medical Group

Choice Medical Group

Verified Company

Apple Valley, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

JOB SUMMARY

An integral part of the contracting team, the Contracting Database Loader will maintain responsibility for the analysis, modeling, interpretation and loading of healthcare/managed care contractual agreements for Provider, Ancillary, or Specialist in the Payment EzCap database.

Duties and responsibilities include but are not limited to:

Database management of all contract uploads for Primary, specialty, ancillary or hospital
Demographic updates for additions, changes, terminations for existing contracts
Intermittent provider loads for UM use.
Letters of Agreement (LOA's) preparation, follow up, uploading.
Noncontracted provider loads for incoming claims (Bowman).
Network roster maintenance for internal and public use.
Network update communications to internal departments & IPA affiliates.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential function.

Knowledge of:

Familiar with EzCap database or similar i.e. Quick Cap.
Health plan/vendor contracting.
Company policies and procedures.
Typing speed minimum 45 wpm.

Ability to:

Problemsolve, negotiate, and demonstrate independent decisionmaking.
Prioritize with excellent organizational skills, responding to multiple demands and timeliness.
Demonstrate professional written and verbal communication skills and presentation skills using the English language.
Demonstrate ability to respond to common inquiries from patients, customers, vendors, regulatory agencies, health plans or members of the business community and possess excellent customer service skills.
Twist, turn and utilize reaching motion, ability to sit and/or stand for extended periods of time.

SKILLS
Has knowledge of industry standards and expectations. Has knowledge of commonly used concepts, practices, and procedures within this field. Excellent verbal and written skills. Computer literate with knowledge of EZ-Cap and Microsoft Applications. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works independently under the direction of assigned supervisor/manager. Must be able to type at minimum 45 wpm. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

EDUCATION and/or EXPERIENCE

High school diploma. Database experience preferred.

LANGUAGE
SKILLS
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or government regulations. Ability to write reports and/or business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

PAY:
$20/hr - $25/hr DOE

For more information about equal employment opportunity protections, please view the 'EEO is the Law' poster.

NOTICE:

EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT

PAY TRANSPARENCY NONDISCRIMINATION PROVISION
Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.