Contract Coordinator - Managed Care

Location

Mechanicsburg, PA | United States

Job description

Supporting new and renegotiated contracts for Critical Illness Recovery Hospitals and Inpatient Rehabilitation facilities Managed Care contracting departments.

• Contract Management:
  • Contract rollouts and notifications to all applicable Critical Illness Recovery Hospitals and Inpatient Rehabilitation facilities Operations team members, Finance, Credentialing, and Billing staff for assigned Outpatient Services
  • Input data from contract terms into the Payor Information System / Contract Lifecycle Management System
  • Complete mail merges and letter mailings and correspondence to contracted payors as necessary
  • Filing and file maintenance
  • Participate in Contract Lifecycle System projects as needed
  • Maintain reference files on Department Shared Drive, i.e. fee schedule spreadsheets, per diem contracted rates, etc. for assigned services
• Payor issue resolution for assigned services:
  • Assist with billing issues as needed
  • Assist with payor escalation and urgent service matters as needed
  • Assist staff with research of various payor issues
• Credentialing for assigned services
  • Coordinate and complete credentialing required during time of negotiation and as required thereafter
  • Gather payor information – schedules, manuals, bulletins, etc.
  • Review payor communications for updates to our business line and communicate to Director of Managed Care for research/distribution to appropriate staff
• Data mining and reporting for assigned services
  • Maintain and distribute monthly and quarterly activity summary reports
  • Input data and maintain database for contract log and single case agreement logs
  • Record all managed care department activity (new agreements, updated agreements, COLA’s, Charge Master changes) update, maintain and distribute reports for Contracting Department
• Department administration and coordination
  • Handle requests for routine information
  • Conduct research and compile data as requested
  • Assist other Contracting Department staff as needed
  • Assist with onboarding and training manual for new employees
  • Assist in developing processes and procedures for the department and it's systems
  • Maintain and update market assignments by Director of Managed Care.
  • Assist with onboarding and compiling training manual for new department employees
  • Assist in developing processes and procedures for the department and the systems we maintain

Required :

• High School and/or some post-secondary education, or equivalent work experience.
• 3-5 years demonstrated experience in an office or healthcare administration setting.
• Strong project management skills. Strong attention to details, timelines and follow-through
• Collaborative and positive manner
• Strong verbal and written communication skills
• Ability to work independently and with minimal instructions and supervision. Ability to prioritize and complete multiple projects in the most effective/results oriented order
• Required to be proficient in Windows-based office technologies (Word, Excel, ACCESS, Power Point)
• Strong medical terminology and knowledge of the managed care/provider business environment
• Ability to handle multiple tasks simultaneously and to cope with internal and external pressure to complete such tasks in a timely manner

Preferred :

• Office management experience

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

Job tags

Salary