Contract Management Coordinator

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Support the Contract Management Department with various administrative tasks.

• Collaborate with the team on activities that enable them to concentrate on loading and validating contracts.

• Retrieve all Government fee schedules and upload them into Pricer.

• Download Medicare Fee Schedules and upload them to Pricer for universal access.

• Download all state Medicaid schedules and upload them to Pricer for global usage.

• Acquire all Government Factors necessary for pricing and submit them to the Development Team.

• Organize and provide factors to the Development team for system integration.

• Pull all state Workers Comp/No Fault Fee Schedules and upload them into Pricer.

• Generate all Contract Management Volume Reports on a Monthly and Quarterly basis.

• Offer Internal and External pricing confirmations and feedback.

• Ensure a 24-hour response time on specific pricing inquiries from both External and Internal customers.

• Provide Clients with Pricing Contract Overviews upon request.

• Attend all team meetings, taking notes and distributing them as necessary.

• Maintain all Workers Comp and No Fault client contracts and fee schedules.

• Produce validation reports as requested by Management.

• Assist in conducting gap analysis for both new and existing clients.

• Perform a semiannual contract inventory for all clients to ensure contracts are up to date.

• Support Department Management with additional tasks or projects as needed.

• Carry out other duties as assigned.

• Use, protect, and disclose patients’ protected health information strictly in accordance with HIPAA standards.

• Always understand and comply with Information Security and HIPAA policies and procedures.

• Limit access to PHI to the minimum necessary to fulfill assigned responsibilities.

⛳️ Requirements

• High school diploma or equivalent is required; Bachelor’s degree is preferred.

• A minimum of 2 - 3 years of experience navigating Medicare, Medicaid & state Workers Comp/No Fault websites to obtain pricing fee schedules and necessary information.

• Highly organized with a talent for managing documents effectively.

• At least 1 year of basic knowledge in the Managed Care industry, billing, and/or healthcare contracting is required.

• Ability to thrive in a high-paced environment and manage multiple tasks simultaneously.

• Strong interpersonal skills with the ability to communicate effectively at all organizational levels.

• Excellent problem-solving and creative skills, with the capacity to make sound judgments and decisions based on timely and accurate analyses.

• High level of integrity and reliability, with a strong sense of urgency and results-oriented mindset.

• Exceptional written and verbal communication skills are essential.

• A gracious and welcoming demeanor for customer service interactions.

🏝️ Benefits

• Work Schedule: Monday - Friday 9PM - 5AM PHT (Night Shift)

• Work Set-Up: Full Time Permanent Remote

• Must own a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes.