Provider Contracting Coordinator

Job Description

Job Description

Description

About the Role:

 
We are currently seeking a highly motivated Contracting Coordinator. This role will report to the Provider Contracting Manager and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis.

Our Values:

 
• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity and Excellence
• Be Innovative
• Work as One Team
What You'll Do

• Prepares, generates, assembles, mails, tracks and follows up on all agreements
• Initiates, negotiates, generates, and tracks Physician Letters of Agreement, contracts and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments
• Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
• Build, organize and maintain both digital and hard copies of providers & vendors agreements
• Draft agreements in conjunction with various specifications. Update’s boilerplates to reflect any changes deemed necessary or as required by NCQA, Center for Medicaid/Medicare Services (CMS) and/or any other governing bodies
• Collaborate with other departments to investigate any discrepancies or missing pieces of information
• Communicate and follow up with providers & vendors to obtain missing information such as NPI, tax ID, other necessary information and to ensure agreements are return with proper signatures and fully executed
• Follow up with providers and vendors to make sure they received agreements and to return in a timely manner
• Communicate changes in agreements with other departments
• To effectively interface with providers, vendors, and other departments to successfully monitor and implement agreements in place
• Engage in administrative tasks to assists with other departments when requested
• Maintaining and protecting information of confidentiality

Qualifications

• High school diploma and Associate’s degree or equivalent from two-year college
• Proven PC skills – Excel, Word, Access, Outlook, PowerPoint
• Excellent communication, reading, spelling and editing skills
• Detail-oriented and be able to engage in exhaustive investigation when initial information is vague
• Intermediate to expert knowledge of Microsoft Word, Windows Explorer and internet research
• Basic to intermediate knowledge of Microsoft Excel
• Ability to understand and work with proprietary software applications
• Organizational ability and ability to exercise good judgment
• Typing speed 50+ WPM and knowledge of 10 key desired
• Ability to contract negotiations, which include contract template reviews and drafting of agreements
• Great organization skills and willing to handle large amount of filing

You're great for this role if:

 
• Highly motivated and able to work with multiple teams simultaneously
• Understanding of healthcare and managed care contracting terminology
• Understanding of healthcare regulations and provider payment reimbursement methodologies

Environmental Job Requirements and Working Conditions

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
• The target pay range for this role is between $24.00 - $27.00. This salary range represents our national target range for this role.