Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Medical Billing Contract Management Insurance Law Contract Management Contract Management Escalation Management Medicaid Medicare Commercial Insurances Dispute Resolution Insurance Policies Medicare Advantage Contract Management Account Management Compensation Program Design Issue Management Performance Analysis Online Communication Stakeholder Communications

Other Skills

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Training And Development
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Microsoft Office
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Non-Verbal Communication
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Analytical Skills
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Time Management
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Organizational Skills
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Detail Oriented
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Prioritization
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Problem Solving

Roles & Responsibilities

Bachelor's degree
2-4 years of relevant experience with exposure to the operational side of insurance (dental or medical)
Broad knowledge of healthcare insurance, physician billing and reimbursement, administration, systems, practices and principles (e.g., Medicaid, Medicare, Medicare Advantage, and Commercial)
Excellent verbal and written communications; strong time management, prioritization, organizational skills; detail oriented with analytical and problem-solving abilities; proficient in Microsoft Office Suite

Requirements:

Develops and maintains effective working relationships with insurance company contacts and acts as primary point of contact for assigned region/plan on issues related to insurance participation or concerns
Manage the implementation and communication of contracts in assigned markets; triage issues between insurance plans and Aspen offices to ensure validity and resolution
Monitor contract performance and other provisions to ensure compliance, identify problem areas, and resolve disputes; help identify opportunities for enterprise-wide field education and assist in creation of educational resources
Resolve escalated contract issues generated by operational department heads

Aspen Dental Management, Inc. (ADMI)

About Aspen Dental Management, Inc. (ADMI)

As one the largest healthcare business support organizations in the U.S., ADMI continues to build and strengthen the infrastructure, expertise and core competencies that successful healthcare practices need to accelerate their growth and fuel their success, while also giving providers the freedom to do what they do best: Care for their patients. Through organic growth and a series of strategic acquisitions, ADMI now supports more than 1,000 health and wellness offices across 45 states and in three distinct categories: Dental care, urgent care and medical aesthetics. In dentistry, ADMI supports Aspen Dental, the largest and fastest-growing branded network of dental practices in the U.S. with nearly 900 locations in 42 states, as well as ClearChoice Dental Implant Centers, leaders in fixed, full arch dental restorations for patients with missing or failing dentition, with more than 65 locations in 27 states. Collectively, the two are the largest provider of fixed and removable prosthetics in the U.S. WellNow Urgent Care now stands at more than 85 locations in four states, putting it among the top 10 urgent care providers nationwide, while more recently, the ADMI family has expanded to include the medical aesthetic category with the acquisition of the largest single med spa clinic in the U.S.

Company type: Large

Founded: 2018

Company size: 1001 - 5000

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Job description

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 46 states in three distinct categories: Dental care, urgent care, and medical aesthetics. 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 four consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet. 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.

As a reflection of our current needs and planned growth, we are very pleased to offer an opportunity to join our accounting team as 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/plan(s) 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.

If you are an applicant residing in California, please view our privacy policy here:

https://careers.aspendental.com/us/en/tag-privacy-policy-for-california-employees

Salary: $73-82k, with a generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match

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