Here at Wellpath, everything that we do is about taking care of people – our patients, our staff and our partners. We are committed to making a difference by providing hope and healing to vulnerable patients in challenging clinical environments. Our talented, compassionate team thrives in an autonomous environment, is empowered and supported by education, training and the resources to practice healthcare the way it is meant to be and strives to “Always Do The Right Thing!”
Our Provider Contract Pricing Specialist will provide research on a multi-state level regarding individual state Medicaid medical reimbursement rules and applicable rates; provide medical claims pricing submitted for reimbursement; and audit Medicare and individual provider contracts for correct medical reimbursement calculations.
Conducts multi-state Medicaid research for physician and facility reimbursement calculation.
Maintains multi-state Medicaid reimbursement updates as they occur.
Updates pricing software to properly calculate provider direct contracts based agreed terms.
Assists with other duties within the Provider Relations department regarding provider records, manual pricing of medical claims submitted for reimbursement, and any other duties.
Wellpath is an EOE/Minorities/Females/Vet/Disability Employer