CONTRACT SPECIALIST-PHO

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Job Description

About Us

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

  • Named one of Modern Healthcare’s Best Places to work five times
  • Named one of America’s Greatest Workplaces by Newsweek in 2024.
  • Recognized as a Greatest Workplace for Women in both 2023 and 2024.
  • Listed as one of the Greatest Workplaces for Diversity in 2024.
  • Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.
  • Ranked among the Best Employers by State for Missouri.
  • Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.

Benefits

  • Medical, Vision, Dental, Retirement Plan with employer match, and many more!
  • For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Summary
  • The Contract Specialist must review and understand provider, workers compensation, managed care and other contracts; utilize standard contracting documents; develop and implement contract ranking/qualifying system; develop and implement contract tracking system; prepare contract summaries, payor notices and updates; contract troubleshooting; research projects. Must be detail-oriented and keep a history of communication and processes as they pertain to the contracting process. Responsible for tracking and ensuring execution, renewal and renegotiation of all applicable contracts, amendments, and addendums. Responsible for facilitating communication between employer groups, third party administrators, and office staff. Assists in development of new documents as appropriate; maintains standard contracting documents in contractual relationships. Assists in maintaining complex spreadsheets of financial and reimbursement data for management. Able to organize, prioritize and multi-task to execute projects and day to day work flow. Proficient in interpreting employer group and other payer benefits. Able to work independently with minimal supervision.
Job Requirements
  • Education
    • Required: High School Diploma or Equivalent
    • Preferred: Bachelors in a Related Field
  • Experience
    • Required: 3-5 Years experience working in the healthcare industry, insurance, legal and/or Managed Care industry.
  • Skills
    • Working knowledge of contracts.
    • Experience in contracting, claims processing, filing, or coding in a provider office and/or clinic, legal, or insurance organization
    • Proficient in all Microsoft programs, database experience preferred
    • Ability to communicate effectively with different levels of management
    • Ability to handle difficult situations professionally
    • Ability to make routine decisions in accordance with departmental policies and procedures.
  • Licensure/Certification/Registration
    • N/A
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Specialties:

  1. Professional/Technical - Non-Clinical

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Why CoxHealth?

We are a health system that includes six hospitals with over 80 clinics and 537 physicians serving 24 counties. CoxHealth is Missouri’s first hospital system accredited by DNV Healthcare for quality and patient safety. All six hospitals, as well as our outpatient centers and provider-based clinics, hold this national distinction from DNV’s accreditation program, the National Integrated Accreditation of Healthcare Organizations. The hospital is also the only facility in the region to receive the ANCC Magnet designation, which recognizes excellence in nursing. We are the only local health system named six times to U.S. News & World Report’s Best Regional Hospitals list, and we are recognized by CareChex as among the Top 10 percent of U.S. hospitals for medical excellence and patient safety in overall medical care.