What are the responsibilities and job description for the Provider Contracting Coordinator position at Astrana Health, Inc.?
Description
What You'll Do
Qualifications
Environmental Job Requirements and Working Conditions
About the Role:
We are currently seeking a highly motivated Contracting Coordinator. This role will report to the Supervisor - Provider Contracting 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.
We are currently seeking a highly motivated Contracting Coordinator. This role will report to the Supervisor - Provider Contracting 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.
What You'll Do
- 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
Qualifications
- 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
You're great for this role if:
- 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
Environmental Job Requirements and Working Conditions
- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
- The target pay range for this role is between $24.00 - $27.00. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Salary : $24 - $27