Provider Contracting Coordinator

Astrana Health, Inc.Monterey Park, CA
Hybrid

About The Position

We are currently seeking a highly motivated Contracting Coordinator. This role will report to the Provider Contracting Manager and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis.

Requirements

  • High school diploma and Associate’s degree or equivalent from two-year college
  • Proven PC skills – Excel, Word, Access, Outlook, PowerPoint
  • Excellent communication, reading, spelling and editing skills
  • Detail-oriented and be able to engage in exhaustive investigation when initial information is vague
  • Intermediate to expert knowledge of Microsoft Word, Windows Explorer and internet research
  • Basic to intermediate knowledge of Microsoft Excel
  • Ability to understand and work with proprietary software applications
  • Organizational ability and ability to exercise good judgment
  • Typing speed 50+ WPM and knowledge of 10 key desired
  • Ability to contract negotiations, which include contract template reviews and drafting of agreements
  • Great organization skills and willing to handle large amount of filing

Nice To Haves

  • Highly motivated and able to work with multiple teams simultaneously
  • Understanding of healthcare and managed care contracting terminology
  • Understanding of healthcare regulations and provider payment reimbursement methodologies

Responsibilities

  • Prepares, generates, assembles, mails, tracks and follows up on all agreements
  • Initiates, negotiates, generates, and tracks Physician Letters of Agreement, contracts and amendments from initial draft to full execution utilizing approved standardized contract templates/amendments
  • Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes.
  • Build, organize and maintain both digital and hard copies of providers & vendors agreements
  • Draft agreements in conjunction with various specifications. Update’s boilerplates to reflect any changes deemed necessary or as required by NCQA, Center for Medicaid/Medicare Services (CMS) and/or any other governing bodies
  • Collaborate with other departments to investigate any discrepancies or missing pieces of information
  • Communicate and follow up with providers & vendors to obtain missing information such as NPI, tax ID, other necessary information and to ensure agreements are return with proper signatures and fully executed
  • Follow up with providers and vendors to make sure they received agreements and to return in a timely manner
  • Communicate changes in agreements with other departments
  • To effectively interface with providers, vendors, and other departments to successfully monitor and implement agreements in place
  • Engage in administrative tasks to assists with other departments when requested
  • Maintaining and protecting information of confidentiality
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