Senior Provider Contracting Specialist

2 weeks ago


Sandton, South Africa HR Studio Ltd Full time
Job Description:

We are seeking a highly skilled Senior Provider Contracting Specialist to join our team at HR Studio Ltd. This is an exciting opportunity for a motivated individual to work in a dynamic environment, utilizing their negotiation and problem-solving skills to achieve cost-effective service delivery.

About the Role:
The ideal candidate will be responsible for initiating contact with out-of-network providers, negotiating fees and rates, and accurately performing data entry and documentation related to medical claims repricing. Excellent communication and interpersonal skills are essential, as this role requires collaboration with both internal and external stakeholders, including clients, providers, and other departments.

About You:
To succeed in this position, you will possess a strong ability to influence stakeholders, achieve mutually agreeable outcomes, and communicate clearly and professionally. You will also be able to make well-informed decisions using available resources and sound judgment, as well as proactively identify and resolve issues in a timely manner.

Requirements:
A minimum of 1 year of experience in provider contracting, data or network administration, preferably in a healthcare third-party administrator setting, or 2 years of claims processing or customer service experience in a medical/healthcare setting, including knowledge of medical terminology. Prior work in a production environment is required. Additionally, you must be able to maintain confidentiality and exercise discretion in handling sensitive information.

Benefits:
This role offers a competitive salary of $60,000 - $80,000 per annum, depending on experience, as well as opportunities for career growth and professional development. Working hours are from 2 pm to 11 pm, Monday to Friday. If you are a motivated and results-driven individual who is passionate about negotiation and problem-solving, we encourage you to apply for this exciting opportunity.
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