Job Summary: The Contract Support Specialist is responsible for negotiating Single Case Agreements for out of network and out of area services, monitoring the daily operations within the Contracting Department, ensuring complete and accurate information is provided on all inquiries and deadlines are met per established departmental policy. Ability to develop and implement processes for better work flows within the Contracting Department. The Network Support Specialist must possess the ability to work in a team environment, work independently with minimal guidance, demonstrate excellent verbal and written communication and organizational skills. Must have excellent interpersonal skills and be able to work with all levels of management and staff, both technical and non-technical. Strong, independent decision-making abilities are required. Must be able to conduct research, be resourceful, and self-reliant. Ability and willingness to learn the business and operating environment within the Health Plan. Must be able to handle multiple tasks, set priorities, meets deadlines, and work well under pressure. Proficient with M/S office, including Excel, Word, Access, PowerPoint, and Outlook. Heavy computer and telephone work. Demonstrate the ability to maintain a positive, customer-focused, and professional attitude.
Associates degree or equivalent work experience.
Minimum 3 years' experience in healthcare such as medical claims, medical front/back office, contracting or Provider Relations preferred
Enjoys working in both individual and team settings
Must be able to work independently; providing management with status updates
Experience in working with QNXT, Impact and/or any claim processing application is preferred
Proficient in Microsoft Office skills (Excel, Word, Access,etc.)
Multi-task; establish priorities
Self-starter, resourceful and able to execute projects in a fluid and fast paced environment
Good communication and relationship skills
Strong analytical skills
Attention to detail
Universal Health Services