How to become a network contractor?

Career: Network Contractor

Qualifications needed to become a network contractor include a bachelor’s degree and at least three years of experience working in a network management-type role. Some employers require that you have knowledge of health care or managed care. You should have experience with fee schedule development and with using financial models and analysis to negotiate provider rates. It is critical that you understand claims processing systems and guidelines. Some jobs require you to have thorough working knowledge of Medicare Resource-Based Relative Value System (RBRVS) reimbursement, as well as Medicare and Medicaid regulations. It is also vital to have strong communication skills.