Provider Network Coordinator - Provider Contracting Coordinator

Job Description

Job Description

Position Summary

We are seeking a detail-oriented and organized Contracting Coordinator to support the end-to-end enrollment and contracting process for new healthcare providers. This role is responsible for coordinating provider onboarding, ensuring required documentation is complete, and supporting compliance with network adequacy standards and applicable Centers for Medicare & Medicaid Services (CMS) guidelines.

The ideal candidate has a basic understanding of a Management Services Organization (MSO), strong organizational skills, and the ability to work independently while managing multiple priorities.

Key Responsibilities

Responsibilities include, but not limited to:

• End-to-End Provider Enrollment: Coordinate the enrollment and contracting process for new providers, from initial submission through completion and activation.
• Contract Management: Track provider contracts, enrollment applications, required documentation, and outstanding items to ensure timely processing.
• Network Adequacy: Assist in monitoring provider network adequacy standards to help ensure appropriate provider coverage and compliance with applicable requirements.
• Regulatory Compliance: Support adherence to applicable CMS guidelines, regulatory requirements, and internal policies and procedures.
• Documentation and Recordkeeping: Maintain accurate and up-to-date provider records, enrollment trackers, contracts, and supporting documentation.
• Follow-Up and Coordination: Communicate with providers, internal departments, and external partners to obtain missing information and resolve enrollment or contracting delays.
• Status Reporting: Monitor enrollment progress, identify outstanding requirements, and provide regular updates on provider onboarding activities.
• Process Improvement: Identify opportunities to improve the efficiency, accuracy, and consistency of contracting and enrollment workflows.

Qualifications and Requirements

• Basic knowledge of healthcare operations, preferably within a Management Services Organization (MSO), medical group, or healthcare network.
• Basic understanding of provider enrollment, contracting processes, and healthcare documentation requirements.
• Familiarity with CMS guidelines and requirements is preferred.
• Strong organizational skills and attention to detail.
• Ability to work independently, manage multiple assignments, and meet deadlines.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office applications, including Outlook, Word, and Excel.
• Ability to maintain accurate records and handle confidential provider information appropriately.

Preferred Qualifications

• Previous experience in provider contracting, provider enrollment, credentialing, or healthcare administration.
• Exposure to provider network adequacy requirements and regulatory compliance.
• Experience tracking enrollment applications, contracts, and provider documentation.

S&S Management Inc is a Management Services Organization (MSO) located in Alhambra, California.

Company Description

S&S Management Inc is a Management Services Organization (MSO) located in Alhambra, California.