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Contract Administrator
3 months ago
Russell Tobin + Associates is currently seeking a Contract Administrator to support one of the largest healthcare providers in the US. Apply today
Job Title: Contract Administrator| Network Providers
Pay: $18.00-$20.00/hour | Pending Experience
Duration: 3-Months | Potential Contract to Hire Opportunity
Schedule: Monday – Friday // 40hrs/week
Location: HYBRID| PHOENIX, AZ
Responsibilities:
- Assemble, review, and coordinate required documents and information pertaining to contracting requests, projects, and the management of contracts and related areas.
- Obtain and verify required documentation from existing and potential providers for contracts and credentialing.
- Manage departmental email boxes used by internal and external customers for request submissions, status updates, etc.
- Handle incoming fax requests from provider offices.
- Understand terminology and the processes and policies encountered in contracts from Medicare and Medicaid business requirements.
- Draft letters and documents related to the preparation of contract documents.
- Track all incoming and updated information related to contract requests or data updates and assign them to the appropriate contract specialist or network operations representative.
- Develop and maintain accurate records.
- Resolve problems and make decisions following departmental policies and procedures.
- Maintain databases; collect, track, prepare, compile, and distribute statistical data as required.
- Provide statistical reports and maintain records of requests for qualifying healthcare professionals for all product services offered by Medicaid Business Segment Products.
- Support contract specialists to ensure successful completion of the contracting process, including loading and system verification.
- Identify gaps by network analysis and risk in the contracting process; coordinate with multiple departments to ensure the contracting process is completed timely and accurately, adhering to established standards and guidelines set by Regulators and HC policies.
- Navigate effectively through the system of record to ensure all information and documents are verified promptly.
Qualifications:
- 1+ years of office experience, including customer service.
- Understanding of provider networks, including provider specialties and hospitals.
- Knowledge of ICD10, CPT, HCPC, and Revenue Codes.
- Proficiency in word processing, spreadsheets and database software
- Experience with Managed Care Organization; credentialing/contracts is a PLUS
Required Education:
- High-School Diploma
ABOUT US:
Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization.
We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies.
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.