Description The Provider Contracting Coordinator 3 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance.
The Provider Contracting Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment.
May apply intermediate mathematical skills.
Responsibilities The Provider Contracting Coordinator 3 communicates contract terms, payment structures, and reimbursement rates to providers.
Analyzes financial impact of contracts and terms.
Maintains contracts and documentation within a tracking system.
May assist with identifying and recruiting providers based on network composition and needs.
Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects.
Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Required Qualifications + High School Diploma or equivalent
1-3 years of provider relations, provider contracting or account management experience + Excellent written and oral communication skills + Ability to manage multiple priorities in a fast-paced environment + Proficiency of Microsoft Office applications Preferred Qualifications + BS or Higher Education
1-2 years of leadership experience (formal or informal) + Previous experience or knowledge of managed care, provider experience, behavioral health experience Additional Information Scheduled Weekly Hours 40 About Us Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification.
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