Contracting Coordinator

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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