Job Purpose
The Contract Management Coordinator will assist the Contract Management Department in all administrative functions. The Contract Management Coordinator will work with team on tasks that will allow them to focus on the loading and validating contracts.
Duties & Responsibilities
Pull all Government fee schedules and upload into Pricer
Download Medicare Fee Schedules and upload to Pricer for global use
Download all state Medicaid schedules (Annual or quarterly depending on state) and upload to Pricer for global use
Download all Government Factors needed by 3M for pricing and submit to Dev Team
Provide factors in an organized manner to Dev team for system loading
Pull all state Workers Comp/No Fault Fee Schedules and upload into Pricer
Run all Contract Management Volume Reports Monthly/Quarterly
Provide Internal and External pricing confirmation and feedback
Provide 24 hour turn around on specific pricing questions to External and Internal customers
Provide Clients with Pricing Contract Glances as requested
Attend all team meetings and take and distribute notes as required
Maintain all Workers Comp and No Fault client contracts and fee schedules
Run validation reports requested by Management
Assist in gap analysis for new and existing clients
Complete contract inventory on semiannual basis for all clients to confirm we are up to date with contracts
Assist Department Management with any additional tasks/projects
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
High school diploma or equivalent required, Bachelor’s degree preferred
2 - 3 years minimum experience of Medicare, Medicaid & state Workers Comp/No Fault websites to obtain pricing fee schedules and information required
Highly organized and adept in handling documents
Minimum 1-year basic knowledge of the Managed Care industry, billing and/or healthcare contracting required
Ability to work in a high paced environment and be able to multitask
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Work Schedule: Monday - Friday 9PM - 5AM PHT (Night Shift)
Work Set-Up: Full Time Permanent Remote
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.