Healthcare Contracts Specialist
•Compiles and researches LOIs and prepares documents for the LOI Committee meetings, including mapping to evaluate
•Monitors TMHP website for provider reimbursement changes on a monthly basis. Work with Contract Administrators to
prepare service forms when provider participation or reimbursement changes are identified.
•Prepares and sends provider welcome packets and denial letters.
•Receives and tracks internal and external services forms to ensure appropriate follow-up and response is completed within
five (5) business days.
•Implements database changes for providers within three (3) days of receipt from delegated entities.
•Prepare and process single case agreements.
The position will have many administrative responsibilities such as generation of letters to providers, mail merges in Word/Excel and completing clerical workflows. Great communication skills, organizational skills, and attention to detail are essential.
Provider relations background is ideal. Strong computer skills, clerical skills, attention to detail, organizational skills, past experience with provider relations, credentialing or provider enrollment preferred. Experience working in a health plan or a health care provider office is required.