Senior Contract Management Coordinator

Beacon Behavioral Partners•St. George, LA

About The Position

The Senior Contract Management Coordinator performs administrative, clerical, and analytical work in support of the Managed Care/Payer Contracting team. The role helps manage health plan contracts and associated fee schedules, including integrating new practices and maintaining contracts and fee schedules in company systems. The position also supports payer/provider relations, contract and provider enrollment issues, renegotiations, reporting, and presentations for leadership. The role is full-time and non-exempt, reports to the Vice President of RCM, and requires a high school diploma. Some college or paralegal certification is preferred. Work is associated with a normal office environment and includes regular computer use and communication.

Requirements

  • High school diploma.
  • Knowledge of medical billing/collection and/or insurance agreements.
  • Excellent written and verbal communication skills.
  • Flexibility, organization, and self-motivation.
  • Working knowledge of office equipment such as printers and fax machines.
  • Proficiency in MS Office, including Excel, PowerPoint, and Outlook.
  • Ability to work under pressure while remaining friendly and professional.
  • Excellent time-management skills and ability to prioritize work.
  • Attention to detail and problem-solving skills.
  • Typing speed in excess of 50 words per minute.
  • Comfort with basic math and comparing rates and percentages using Excel.
  • Strong organizational skills and ability to multitask.

Nice To Haves

  • Some college or paralegal certification.
  • Experience reviewing agreements between insurance companies, networks, or managed care organizations and healthcare provider groups, from either the payer or provider perspective.
  • Provider or payer relations or credentialing experience.
  • Customer service and previous administrative experience.

Responsibilities

  • Manage health plan agreements in the contract management system, including storing payer agreements, amendments, and associated fee schedules.
  • Set up practices’ health plan contracts in the contract management system and fee schedules in company systems.
  • Contact health plans and use payer portals to ensure agreements and current, historical, and updated fee schedules are accessible, including Medicare, Medicaid, Tricare, and commercial plans.
  • Provide updated health plan policies and rates to payer contracting and RCM analysts for financial-impact modeling and updates to company systems.
  • Create reports and obtain industry data to determine the net effects of company growth initiatives, including geographic and service expansion.
  • Support renegotiations as needed and evaluate the need for renegotiations annually.
  • Compare rates across states and within existing markets to support renegotiations and integration.
  • Assist with management of national agreements related to delegated credentialing and reimbursement.
  • Prepare presentations for leadership about payer contracting trends as needed.
  • Handle payer/provider relations concerning contract-related and provider-enrollment issues.
  • Communicate with payer contracting, credentialing, RCM, and other teams as needed.
  • Perform other work-related duties as assigned.
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