Easter Seals Jobs

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. Combined, the companies serve more than 30,000 patients a day and more than 8 million patients each year.

As a reflection of our current needs, we have an exciting opportunity to join our team as a Contract Specialist. The Contract Specialist plays a vital role within our Payor Strategy Team. The successful candidate will report to the Senior Manager of Payor Strategy. The Contract Specialist Team oversees all operational aspects of our insurance contract portfolio.

Essential Functions

• Develops and maintains effective working relationships with insurance company contacts.

• Act as primary point of contact for assigned region on issues related to the insurance participation or concerns. This role is responsible for effectively triaging and resolving operational issues for both our internal clients as well as our insurance plan partners.

• Manage the implementation and communication of contracts in assigned markets.

• Triage issues between insurance plan and Aspen offices to ensure validity and work with all parties until fully resolved.

• Work with Senior Manager/Leadership to identify opportunities for enterprise-wide field education + assist in creation of educational resources.

• Monitor contract performance and other provisions to assure compliance, identify problem areas, and resolve disputes.

• Resolve escalated contract issues generated by operational department heads.

• Other duties as assigned.

Experience

• Bachelor's degree

• 2-4 years of relevant experience with exposure to operational side of insurance (dental or medical)

• Broad knowledge of healthcare insurance, physician billing and reimbursement, administration, systems, practices and principles, (i.e. Medicaid, Medicare, Medicare Advantage, and Commercial.)

• Excellent verbal & written communications

• Excellent time management, prioritization, and organizational skills a must.

• Detail oriented with a strong level of analytical, and problem-solving skills

• Proficient use of Microsoft Office Suite.

Annual Pay Range: $70-85k

A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match

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