Full-Time
Payer Contract Specialist
Posted on 6/11/2025
Arkansas Children's
1,001-5,000 employees
Pediatric healthcare services and support
No salary listed
Mid
Little Rock, AR, USA
Hybrid work schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m.
- Familiarity with insurance contracts, reimbursement terms, and managed care agreements.
- Comfort reviewing rates, trends, and financial reports to support decision-making.
- Ability to manage contract terms, deadlines, and compliance accurately.
- Strong skills working with payers and internal teams to resolve issues.
- Basic knowledge of healthcare billing, coding, and payer policies.
- High school diploma or GED or equivalent
- 3 years managed care, payer relations, payer contract, or physician or hospital billing
- Analyze and monitor existing and proposed payer reimbursement schedules to support contracting strategies.
- Manage and maintain professional reimbursement schedules and ensure timely communication of updates to stakeholders.
- Provide analytical support, including data collection, trend analysis, and preparation of financial reports to inform decision making.
- Maintain the accuracy and integrity of the contract management system, ensuring timely and complete contract data entry.
- Oversee contract notices, renewals, amendments, and change management processes.
- Assist in the development and maintenance of reports to track and monitor contract compliance and performance metrics.
- Stay informed on political, legal, and regulatory trends/developments impacting managed care and payer contracting.
- Track and communicate payer policy updates and changes impacting billing, coding, reimbursement, and administrative functions.
- Build and maintain strong working relationships with payers and internal stakeholders.
- Serve as a liaison to facilitate the resolution of payer related operational issues.
- Act as a subject matter expert to internal stakeholders regarding contract language and professional reimbursement methodologies.
- Other Duties as assigned.
- Bachelor's degree in a related field of study.
Arkansas Children's Hospital provides specialized medical care for children, offering over 80 clinics and services aimed at improving children's health. Their services include emergency medicine, acute care, and preventative care, ensuring comprehensive support for young patients. The hospital features a range of specialized programs, such as a Saturday Morning Sports Injury Clinic for quick treatment of athletic injuries and a dedicated Hematology/Oncology program to support children with cancer. What sets Arkansas Children's apart from other hospitals is its focus on creating a network of care that is accessible to families in Northwest Arkansas, including the upcoming Arkansas Children's Northwest facility, which will provide essential services closer to home. The goal of Arkansas Children's is to enhance the health and well-being of children in the region, ensuring they receive the best possible care tailored to their unique needs.
Company Size
1,001-5,000
Company Stage
Grant
Total Funding
$36.7M
Headquarters
Little Rock, Arkansas
Founded
1912
Simplify's Take
What believers are saying
- Telemedicine expansion allows Arkansas Children's to reach rural areas with limited access.
- Robotic-assisted surgery offers minimally invasive options, improving recovery times for young patients.
- AI enhances diagnostic accuracy, particularly in radiology and pathology, improving patient outcomes.
What critics are saying
- Increased competition from regional pediatric hospitals may impact patient numbers and revenue.
- The rise of telemedicine services may reduce in-person visits, affecting hospital revenue.
- Ongoing nursing shortage in the U.S. could lead to staffing challenges and increased costs.
What makes Arkansas Children's unique
- Arkansas Children's offers over 80 specialty clinics dedicated to pediatric care.
- The hospital is pioneering pediatric opioid research with a $70 million center.
- Arkansas Children's integrates mental health services into pediatric care for holistic treatment.
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Benefits
Remote Work Options
Company News
Arkansas Attorney General Tim Griffin on Friday announced that his office had delivered $20 million in settlement funds to Arkansas Children's Hospital to establish the National Center for Opioid Research & Clinical Effectiveness (NCOR).
(Nov. 11, 2024) - Children who grow up in Arkansas have a harder time with asthma than their peers elsewhere, and a scientist at Arkansas Children's Research Institute (ACRI) and the University of Arkansas for Medical Sciences (UAMS) hopes to discover why.
The Parker Family Has Committed to a Total Donation of Over $4 Million to the Local Hospital Over the Past 5 YearsJONESBORO, Ark., July 31, 2024 /PRNewswire/ -- Lynn and Don Parker, the largest franchisees of RNR Tire Express (RNR), the nation's leading franchise retailer for tires and custom wheels, recently donated $2 million to the Arkansas Children's Hospital (ACH). This comes on the heels of their $1 million dollar donation back in 2019 and a commitment to another $1 million future donation, bringing their total donation over the last five years to $4 million.The Parker family presented Arkansas Children's Hospital with a donation check for $2 million.The donations made by the Parkers and their three daughters, Clara, Anna and Sydney, will be used as part of the hospital's $318 million expansion project."My wife and I have worked hard and been blessed in life, and we both believe it is important to give back to the community," said Don. "We have experienced first-hand the benefits of the philanthropic giveback to the hospital, so being able to provide that same support to kids and their families is an opportunity we are grateful to have."Lynn, who grew up in Parkin, Arkansas, has been involved with ACH for the last 34 years. She began as a member on the auxiliary team checking out books to patients and families while she was in law school in Little Rock. After moving to Jonesboro in 1995, Lynn quickly found her way back to ACH through Circle of Friends, and she has since served on the board of the Arkansas Children's Foundation since 2019."My time with the ACH has been so special, and I have met amazing people along the way," Lynn added. "Throughout the last 34 years, it has been incredible to see the foundation grow across the state
Arkansas Children's Research Institute receives $2.3 million grant from NIH for food allergy research.
LITTLE ROCK, Ark., April 15, 2024 /PRNewswire/ -- Leading medical technology provider Healing Innovations and Arkansas Children's Hospital have partnered in a breakthrough in pediatric care: the first-ever Rise&Walk technology customized to help children as they recover after spinal cord and traumatic brain injuries.This innovative neurorehabilitation robotic gait trainer was created specifically for children based on feedback from the Neurorehabilitation team at Arkansas Children's. It marks a significant advancement in treating spinal cord and traumatic brain injuries in the pediatric population. Healing Innovations' Rise&Walk is designed for patients with neurological and mobility impairments to practice seated and standing activities.When the Rehabilitation, Neurology and Orthopedics teams at Arkansas Children's saw Healing Innovations' Rise&Walk for the first time, they quickly realized a few adjustments to the adult-version could revolutionize their work with children and adolescents. The organizations launched a plan to develop a new state-of-the-art model that could deliver right-sized care for kids.By introducing child-savvy graphics that make the machine playful and inviting, the pediatric Rise&Walk reduces anxiety and builds young patients' enthusiasm for reaching their challenging rehabilitation goals. The technology also features hand guides and footplates customized for children's broad range of sizes."Arkansas Children's is on a mission to make all children better today and healthier tomorrow," said Executive Vice President and Chief Clinical Officer Rick Barr, MD. "The Rise&Walk reminds us that a healthier tomorrow is already happening for children who undergo neurorehabilitative therapy