Contract Management Coordinator Remote

Job Purpose

The Contract Management Coordinator will assist the Contract Management Department in all administrative functions. The Contract Management Coordinator will work with team on tasks that will allow them to focus on the loading and validating contracts.

Duties & Responsibilities

• Pull all Government fee schedules and upload into Pricer
• Download Medicare Fee Schedules and upload to Pricer for global use
• Download all state Medicaid schedules (Annual or quarterly depending on state) and upload to Pricer for global use
• Download all Government Factors needed by 3M for pricing and submit to Dev Team
• Provide factors in an organized manner to Dev team for system loading
• Pull all state Workers Comp/No Fault Fee Schedules and upload into Pricer
• Run all Contract Management Volume Reports Monthly/Quarterly
• Provide Internal and External pricing confirmation and feedback
• Provide 24 hour turn around on specific pricing questions to External and Internal customers
• Provide Clients with Pricing Contract Glances as requested
• Attend all team meetings and take and distribute notes as required
• Maintain all Workers Comp and No Fault client contracts and fee schedules
• Run validation reports requested by Management
• Assist in gap analysis for new and existing clients
• Complete contract inventory on semiannual basis for all clients to confirm we are up to date with contracts
• Assist Department Management with any additional tasks/projects
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  
  

• High school diploma or equivalent required, Bachelor’s degree preferred
• 2 - 3 years minimum experience of Medicare, Medicaid & state Workers Comp/No Fault websites to obtain pricing fee schedules and information required
• Highly organized and adept in handling documents
• Minimum 1-year basic knowledge of the Managed Care industry, billing and/or healthcare contracting required
• Ability to work in a high paced environment and be able to multitask
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction
  
  

• Work Schedule: Monday - Friday 9PM - 5AM PHT (Night Shift)
• Work Set-Up: Full Time Permanent Remote
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.