Contract Coordinator (Hybrid)

Blue Cross Blue Shield of Arizona•Phoenix, AZ

9d•Hybrid

About The Position

This position supports the Network Contracting department by completing tasks that ensure delivery of timelines and high standards are met for a highly functioning contracting department. This includes a variety of assigned tasks as well as projects assigned by management. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona. The position has an onsite expectation of 1 day per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

Requirements

1 year of office experience, including customer service
High-School Diploma or GED in general field of study
Understanding of provider networks, including provider specialties and hospitals
Understanding of ICD10, CPT, HCPC, Revenue Codes
Must reside in AZ
Required to be onsite at least once per week

Responsibilities

Assembles, reviews and coordinates required documents and information pertaining to contracting requests, projects, management of contracts and related areas.
Obtains and verifies required documentation from existing and potential providers, as for contracts and credentialing.
Manages Departmental email boxes utilized by internal and external customers for request submissions, status updates, etc.
Manages incoming fax requests from provider offices.
Understands terminology and the processes and policies encountered in contracts for Medicaid and Medicare business requirements.
Composes drafts of letters and documents related to the preparation of contract documents.
Manages the tracking process of all incoming & updated information pertaining to contract requests or data updates, including assigning to the appropriate contract specialist or network operations representative.
Develops and maintains accurate records.
Resolves problems and makes decisions in accordance with departmental policies and procedures.
Maintain databases; collect, track, prepare, compile, and distributes statistical data.
Provides statistical reports and maintains records of request for qualifying healthcare professionals for all product services offered by Medicaid Business Segment Products.
Provide support to contract specialist to ensure successful completion of contracting process, including loading and system verification.
Identify gaps by network analysis and risk in contracting process and coordinate with multiple departments to ensure contracting process is completed timely and accurately and within required established standards and guidelines set by Regulators and HC policies.
Navigate effectively through the system of record to ensure all information within all documents are verified in a timely manner.
Perform all other duties as assigned.