Payor Contracting Specialist PRN - Transitional Learning Center

The Payor Contracting Specialist will be responsible for supporting payor contracting for our Lubbock, Houston and Galveston facilities. This role req...

Education:

Bachelor's Degree from accredited college or university preferred.

In-depth knowledge of healthcare regulations, including HIPAA, Stark Law, and Anti-Kickback Statute.

Experience:

6+ years’ experience working in a high-level administrative support position. 2+ years working in a medical group, health plan, hospital, or other related healthcare organization.

Proven track record of successful contract analysis and administration preferred

DEMANDS AND CHARACTERISTICS OF WORK, EQUIPMENT USAGE, AND WORK ENVIRONMENT.

PERCENTAGE OF WORK TIME (1-10%)

Twisting

Climbing (Ascending/Descending)

Working with hazardous waste materials

Utilizing essential upgraded or adaptive equipment as industry standards require

Using hand tools

Potential for cuts and bruises

PERCENTAGE OF WORK TIME (34-66%)

Sitting

Pushing/Pulling

PERCENTAGE OF WORK TIME (10-20%)

Standing/Walking

Operating vehicle

LIFTING REQUIREMENTS - individuals in administrative positions are required to lift minimal supplies. (1-33%)

2 - 10 Pounds

DOES THIS JOB REQUIRE? (1-10%)

Working with or near chemicals

DOES THIS JOB REQUIRE? (10%)

Working outdoors

EXCHANGE OF IDEAS (67-100%)

Ability to express or exchange ideas

Ability to understand communication of others with or without adaptive devices.

Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects with or without adaptive devices. The major visual functions are:

Acuity, far - clarity of vision at 20 feet or more.

Acuity, near - clarity of vision at 20 inches or less.

Depth perception - three-dimensional vision. The ability to judge distance and space relationships so as to see objects where and as they actually are they actually are.

Field of vision - the area that can be seen up and down or to the right or left while the eyes are fixed on a given point.

Accommodation - adjustment of the lens of the eye to bring an object into sharp focus. This item is especially important when doing near-point work at varying distances from the eye.

Color vision - the ability to identify and distinguish colors.

Regular Attendance

Punctuality

Ability to do Math

Literate