Contract Provider Addition 2025

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2017 4.8 Satisfied (41 Votes)
2015 4.5 Satisfied (36 Votes)
2014 4.8 Satisfied (32 Votes)
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The Contract Specialist is responsible for coordinating all activities associated with contract administration within a department. Responsibilities include negotiating, writing, monitoring and evaluating contracts including ensuring compliance with federal and state regulations as well as county policies.
As a provider contracting consultant, your duties and responsibilities are to provide workable business solutions to health care providers, manage contracts, and improve insurance or medical provider programs.
A provider contract is a document that represents the business relationship between healthcare providers and payors. A medical provider can be either an individual physician or a medical provider organization with multiple doctors on staff (such as hospitals).
An addendum or a contract addendum is an addition to a contract or agreement. As the name suggests, it is something to be added. Its origin is Latin and is translated as something to be added or an appendix to a work; a thing to be added.
JOB SUMMARY This job manages contracts including negotiations, contract development, contract renewal, and financial reimbursement. Acts as the intermediary between the organization and outside entity. Responds to contractual and payment issues both internally and externally.
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Provider relations specialists work for insurance companies and are the primary contact for health care providers, such as physicians offices and hospitals. In this role, you answer questions from health care providers about service contracts, available in-network services, and billing procedures.
Definition: A medical provider that has an agreement with a health plan to accept their patients at a previously agreed upon rate for payment.
Responsibilities include provider negotiations, network research, and analysis. The Specialist performs contract negotiations to close IPA network gaps and meet Federal, State, and Health Plan regulatory requirements.

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