What are the responsibilities and job description for the Managed Care Contract Coordinator position at Professional Management Enterprises?
Job Description
The Managed Care Contract Coordinator is responsible for ensuring contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, and ensuring approvals are received for non-standard agreements.This is a remote position. The work schedule is M-F, 8-5.
Essential Functions :
Ensure contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, ensure approvals are received for non-standard agreements
Create basic contract documents for new providers, obtain any missing documentation to complete a provider packet
Coordinate efforts with internal departments and providers offices to complete and obtain missing documentation
Perform auditing of the contract, attachments and other provider documents for accuracy and completeness
Promptly and accurately notate internal systems of all data maintenance requests
Prepare documentation when applicable to facilitate data maintenance updates, ensuring all documentation is compliant with state, federal and all applicable governing entities
Proficient in all systems needed to create, research and process maintenance
Assure compliance with corporate policies and procedures.
Assist with Recruitment efforts by placing outbound calls to leads and / or preparing / tracking and following up on mass mail projects.
Field incoming calls from providers regarding contract or amendment status
Assist Contractors with preparing for Orientations by ordering packets, supplies and if necessary, assisting on-site with sign-in etc.
Assure the confidentiality of provider information and ensure all provider files are securely stored at close of business each day.
Knowledge of all regulatory requirements and internal processes to ensure that all maintenance and contractual documents are managed to expectations
Meet departmental productivity and quality standards
Perform any other job duties as requested Education and Experience :
High School Diploma or General Equivalency Diploma (GED) is required
Associate of business administration degree or related field is preferred
Minimum of one (1) year of experience in a managed care or healthcare organization or contract development and review is required
Prior experience with provider documents and provider data entry is highly preferred Competencies, Knowledge, and Skills :
Intermediate computer skills including Microsoft Word, Excel, and Outlook
Communication skills
Ability to work independently and within a team environment
Attention to detail
Familiarity of the healthcare field
Knowledge of Medicaid
Critical listening and thinking skills
Technical writing skills
Time management skills
Customer service orientated
Decision making / problem solving skills
