Contract Coordinator (Hybrid)

Blue Cross Blue Shield of Arizona•Phoenix, AZ

10d•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. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week. Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week. Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month. Onsite: daily onsite requirement based on the essential functions of the job. Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building. Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

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

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 required 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, as required.
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.