Payor Strategy Contract Coordinator

This is a fully remote position, open to applicants in Florida, +4 more states.

📋 Description

• Oversee managed care contract administration across all Trident business entities.

• Report directly to the Senior Manager of Revenue Cycle Management, Payer Strategy.

• Collaborate with the Management Team and Sales Team to pinpoint contracting and business opportunities.

• Evaluate contracts for efficiencies and profitability.

• Implement contracts operationally and audit payments utilizing tracking mechanisms.

• Manage the completion and submission of managed care proposals and payer documentation.

• Act as the primary liaison for regional payors.

• Maintain electronic records of signed contracts.

• Summarize contract provisions and analyze rate impacts.

• Support the Reimbursement team with non-government payer audits and inquiries.

• Review proposals and responses with the Senior Manager for approval.

• Collaborate with System Support to load and test fee schedules and filing formats.

• Distribute Health Plan Contracting Announcement Forms to relevant personnel.

• Document contract terms, fee schedules, and billing requirements.

• Keep current fee schedules and communicate new or modified contracts internally.

• Audit processes to ensure optimal status.

• Develop and implement contract documents that align with annual strategy.

• Prepare opportunity analyses for pricing and in-network/out-of-network decisions.

• Assess contract profitability and renegotiate or terminate contracts as necessary.

• Maintain payer participation listings for billing and sales teams.

• Devise solutions for payer and contract-related issues with Billing Management.

• Identify problematic payors and reimbursement trends impacting cash collections.

• Educate internal and external clients about specific payer requirements.

• Pursue payer contracts based on volumes, payments, collections, and sales opportunities.

• Act as a liaison between Billing A/R and payer relations when contractual A/R issues escalate.

• Perform additional duties as assigned.

⛳️ Requirements

• Minimum of 3 years of prior contracting experience.

• At least 4 years of experience in healthcare billing/accounting.

• High School Diploma is required.

• Experience with contract management software is preferred.

• Comprehensive knowledge of managed care for non-government payer relations programs.

• Exceptional verbal and written communication skills.

• Strong understanding of payer dynamics, including value-based care models and healthcare regulations.

• Proven track record in contract negotiation and managing end-to-end sales processes.

• Ability to meet established deadlines and manage multiple customer service demands within service expectations.

• Strong attention to detail.

• Goal-oriented mindset.

• Capacity to multitask in a fast-paced environment while working with multiple deadlines.

• Proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint.

• Intermediate English written and verbal skills.

• Advanced communication abilities.

• Advanced computer skills.

• Minimum typing speed of 35 words per minute.

• Internet access to perform job duties.

• Ability to speak and hear; possess close vision, depth perception, and the ability to adjust focus.

🏝️ Benefits

• Remote work arrangement available.

• Reasonable accommodations for individuals with disabilities.

• Equal employment opportunity and protections for veterans/individuals with disabilities.