Cactus, Computer Skills, Contract Analysis, Contract Creation, Contract Management, Customer Relations, Database Administration, Documentation, File Maintenance, Financial Reporting, Head of Finance, Interpersonal Skills, Mail Processing, Microsoft Access Database, Microsoft Excel, Microsoft Office, Microsoft Word, Negotiation Skills, Network Administration/Management, Organizational Skills, Presentation/Verbal Skills, Project/Program Management, Provider Contracting, Reporting Skills, Salesforce.com, Systems Administration/Management, Systems Maintenance, Technical Support, Time Management, Writing Skills
Contracting Coordinator
Job Ref: TE0157
Category: Professional
Department: PROVIDER CONTRACTING
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $50,000.00 - $55,105.00
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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Metroplus Health Plan Inc