Position Overview:
The Contracting Coordinator will provide technical administrative support for all network development and contracting activities. The primary focus of the position will be preparing contracts/amendments/notices for execution and submission to internal parties; maintaining Provider Contract database; assisting with monthly reporting of Provider Contracting Department; and assisting with special projects as needed.
Scope of Role & Responsibilities
- On daily basis - in Salesforce/ CLM - review cases assigned and new leads submitted to Provider Contracting group and assess/respond and/or assign to CAs per department’s policies and procedures.
- On daily basis, reconcile lead status and open credentialing cases between CACTUS and Salesforce to ensure that processing of new provider leads are as timely as possible.
- On weekly basis, generate report from Out of Network (OON) Auth Grid to identify SCAs managed/handled by OON Negotiation team by services/providers and status.
- On daily basis, review the weekly Pending Contracts and OON Auth reports to ensure updates are maintained and entered consistently; reconcile any reporting errors and make updates in Credentialing system or OON Auth Grid as needed.
- Assist with the generation of monthly Provider Network reports as well as ad hoc reports as needed/requested.
- Assist with maintenance of all databases utilized by the contracting department.
- On daily basis, provide the Director of Contracting of volume in email inboxes for Provider Terminations/SCA/OON Provider/ and Contracting Updates and assist with management of inboxes.
- Assist OON negotiators with tracking requests for signature to CMO, CFO and OON Providers.
- Working with Contract Administrators and OON Negotiators – prepare contract or LOA/SCA load forms for their submission along with contract supporting documentation (relevant contract pages, SCAs and W-9 form) to responsible internal parties for contract set up in Core System.
- Enter newly executed provider contracts and amendments to contracts in Contracting Database.
- File and maintain contract files, including scanning of Provider Contracts into online Contract Repository.
- Make the appropriate systems updates to reflect provider contract status. Update contracting information in Contracting Database (amendments, terminations, etc.).
- Run weekly communications grid as scheduled.
- Reconcile and distribute department mail and track termination return receipts. Scan documents / mail in appropriate folders.
- Work on special projects as needed, and assist in all areas of the Provider Contracting Department
Minimum Required Education, Training & Professional Experience
- Associate’s degree required; andMinimum of three years’ related work experience required; or
- A satisfactory equivalent combination of education, training, and experience
- Bachelor’s degree preferred.
- Proficient in computer applications including MS Office including Word, Excel, and Access.
Professional Competencies
- Integrity and Trust
- Customer Focus
- Functional/Technical skills
- Excellent oral, written, and analytical skills.
- Excellent interpersonal and organizational skills.
- Adapt easily to ever changing and stressful environment.
- Excellent organization and project management skills.
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