Contracts Coordinator

Contracts Coordinator

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Contracts Coordinator today with HCA HealthOne.

Job Summary and Qualifications

Duties include but are not limited to:

• Complete file review for initial and reappointment applications from doctors and advanced practice professionals at the time the application is released from the Credentials Processing Center (CPC). File review includes reviewing the following elements and completing any necessary follow up:
• Application and HealthONE Addendum Application
• Privileges
• Primary Source Verifications (education, training, affiliations, work history, peer references, certifications, licensure, DEA, gaps in time, NPDB, background, etc.)
• Dynamic credentials (insurance, etc.)
• CME/CEUs
• HealthStream Courses
• Life Support Certifications
• Immunizations (i.e., PPD, flu)
• Case logs/activity
• CV/Resume
• Supporting documents (i.e., Authorization/Attestation/Release, Confidentiality and Security Agreement, Practitioner Acknowledgement, Pharmacy Signature, etc.)
• Market forms (HIM electronic signature/edit, MRSA, HealthONE Medical Staff Code of Conduct, Physician Referral Services, APP orientation acknowledgement form, Medical Necessity/Reflex Testing, etc.)
• Red/Yellow flags
• CPHP and/or CPEP reports, if required.
• Aging Provider Assessment for providers 70 and older
• Build new providers and update existing providers in the Meditech Provider Dictionary for RFCs/RRFCs
• Build new providers in eSAF and HealthStream/Physician Learning Center
• Pull case logs/activity reports, if needed
• Complete data entry in the Cactus database (i.e., as it relates to the Physician Referral Services Form, Health record, etc.)
• Submit Provider Action Forms as necessary for demographic changes, etc.
• Review all information received and verify completeness and accuracy on content in accordance with policies and procedures.
• Communicate with applicants or their practices and HealthONE facilities regarding many facets of credentialing.
• Transmit documents to the CPC, Alchemy, and HealthONE based on policy and procedures.
• Comply with company and department policies/procedures.
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement."
• Other duties as assigned.

Knowledge, skills & abilities:

• Maintain working knowledge medical staff credentialing and regulatory requirements.
• Good working knowledge of general/basic office skills, including computer skills, typing skills, filing, business communications including grammar and spelling skills, basic mathematical calculations, etc.
• Ability to organize and prioritize efficiently and effectively.
• Ability to maintain confidentiality of privileged information gained as a result of job functions.
• Strong interpersonal skills.
• Excellent teamwork skills.
• Adept at relationship building.
• Understand the issues related to credentialing.
• Ability to adapt to changing company and departmental needs.
• Proficient in Microsoft Office applications, Internet searches, and relevant data bases.
• Ability to work independently and under pressure to follow through on issues.
• Ability to communicate ideas clearly and concisely, in an effective and appropriate manner, both verbally and in writing, with all levels of customers.
• Ability to establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Ability to work effectively with colleagues, customers, including Medical Staff leaders.
• High degree of accuracy, timeliness, and attention to detail.

Education:

High school graduate or GED with college course work in Medical Staff Service Sciences, Business or a related field of study, or an equivalent combination of training and experience.

Experience:

Minimum of two years experience preferred in professional credentialing in a healthcare facility (i.e., Medical Staff Office), managed care setting, or credentials verification organization

Benefits HCA HealthOne, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

As part of HCA Healthcare, we at HealthONE® serve the metro Denver area as the largest healthcare system, with more than 11,000 employees . Our hospitals – The Medical Center of Aurora, North Suburban Medical Center, Presbyterian/St. Luke's Medical Center, Rocky Mountain Hospital for Children, Rose Medical Center, Sky Ridge Medical Center, Swedish Medical Center and Spalding Rehabilitation Hospital work together to provide a higher level of care. In addition, our system includes eight hospital freestanding emergency departments and numerous ambulatory surgery centers, eight CareNow urgent care centers and occupational medicine clinics, physician practices, medical imaging centers and AirLife Denver, which provides critical care air and ground transportation serving Colorado and surrounding states.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Contracts Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.