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BilliMD

Medical Contract Negotiation Specialist

BilliMD, Miami, Florida, United States


Location: Doral, FL (Onsite) Pay: $55,487 - $62,563 per year Position Overview BilliMD is seeking a highly skilled Medical Contract Negotiation Specialist to manage and negotiate contracts with insurance payers, healthcare networks, and other third-party entities. This critical role focuses on securing optimal reimbursement terms for our providers while ensuring compliance with regulatory standards. If you have expertise in healthcare contracting and a strong ability to analyze and negotiate favorable terms, we’d like to hear from you Key Responsibilities Contract Negotiation: Initiate, negotiate, and finalize contracts with payers, securing favorable reimbursement rates and terms. Rate Analysis & Benchmarking: Analyze proposed rates against industry standards and identify opportunities for improvement. Provider Enrollment Support: Assist in provider onboarding, aligning contract terms with credentialing requirements. Relationship Management: Build and maintain strong relationships with payer representatives to support ongoing negotiation efforts. Compliance & Risk Management: Review contract language to ensure adherence to legal and regulatory requirements. Data Analysis & Reporting: Monitor performance, reimbursement trends, and payer compliance; prepare insights for leadership. Collaboration: Partner with Credentialing, Billing, and Operations teams to ensure smooth contract implementation. Issue Resolution: Resolve disputes related to terms, reimbursement, or payer compliance. Renewals & Amendments: Manage contract timelines, initiating renewals and updates to maintain provider relationships. Qualifications Experience: Minimum of 3 years in healthcare contract negotiation, reimbursement, or a related field. Education: Bachelor’s degree in Healthcare Administration, Business, or a related field preferred. Skills: Strong negotiation and communication skills with a proven track record. Excellent analytical abilities for data interpretation. Knowledge of healthcare regulatory standards and complex contract language. Highly detail-oriented with outstanding organizational skills. Schedule 8-hour shifts, Monday through Friday Requirements Experience: Negotiation – 4 years preferred Ability to Commute: Doral, FL (Required) Ability to Relocate: Must relocate to Doral, FL before starting work (Required) Why Join BilliMD? We are a growing company dedicated to providing innovative solutions in the healthcare industry. Join our team and make a meaningful impact by contributing to the success of our providers and clients. Work Location: Onsite in Doral, FL Apply now to become a vital part of our team at BilliMD