Contract Services Specialist

Easterseals MORCAuburn Hills, MI

About The Position

Easterseals MORC is hiring for a Contract Services Specialist to help make a difference and become part of something bigger than yourself! We are looking for Game Changers! The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Requirements

  • Salesforce
  • Fresh Service
  • EHRs

Responsibilities

  • Assist in producing provider contracts including updating documents, coordinating and obtaining approvals.
  • Assist in maintaining contract files including monitoring of licenses, insurance coverage, and renewal.
  • Assist in quality review process for contracted entity credentialing and recredentialing.
  • Assist in coordinating execution and renewals of BAA, MOUs, and miscellaneous service agreements at direction of direct supervisor.
  • Assist in updating provider rates, including coordinating rate adjustments, supporting negotiations, and ensuring timely communication and documentation of changes.
  • Assist in developing and analyzing provider service reports.
  • Assist in entering information into EHR related to fee schedules, rate setting, and contracted provider credentials.
  • Assist claims adjudication process as needed related to errors in fee schedules or rates.
  • Maintain provider databases including but not limited to Salesforce, Fresh Service, and relevant EHRs.
  • Verify sanctioned providers.
  • Create various spreadsheets, charts and graphs, and develop reporting out of established databases.
  • Participates in data collection for rate review with CFO and other departments as needed.
  • Participate, record and produce meeting minutes, as assigned.
  • Coordinate and schedule meetings upon request.
  • Monitoring Fresh Service tickets activities to support meeting deadlines and monitoring urgent tasks to ensure timely follow-up.

Benefits

  • Low-cost Dental/Health/Vision insurance
  • Dependent care reimbursement
  • up to 5 days paid FMLA for maternity, paternity, foster care and adoption
  • Generous 401K retirement plan
  • Paid Leave Options Available
  • Up to $125 bonus for taking 5 days off in a row
  • 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
  • Wellness Programs
  • PSLF (Public Service Loan Forgiveness) Employer
  • bonuses and extra incentives to reward hard work & dedication
  • Mileage reimbursement in accordance with IRS rate
  • Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi
  • Student loan repayment options
  • Pet Insurance
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