Job Description - Network Ops Contracts Coordinator in Camarillo
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Network Ops Contracts Coordinator

Ref: US_EN_6_914737_1464480

Posted on 08 September 2022

At Modis, we use our insight, knowledge, and global resources to make exceptional connections every day. With 60 branch offices located strategically throughout North America, we are positioned perfectly to deliver the industry's top talent to each of our clients. Clients choose Modis as their workforce partner to solve staffing challenges that range from locating hard-to-find niche talent to completing quick-fill demands.

Position: Contracts Coordinator-Network ops-Healthcare Provider

Type: Contract

Salary: DOE

Location: REMOTE

Contracts Coordinator-Network ops-Healthcare Provider

Employment Type: Contract

City: Camarillo, CA

Pay = $30/hour

Contract --6-12 month contract

100% remote

POSITION SUMMARY

The Network Ops Contracts Coordinator ensures timely flow of provider contracts and applications to prospective providers. The person in this position maintains multiple provider network resources and provides general support for Provider Network development projects as needed.

ESSENTIAL FUNCTIONS

• Sends out contracts/applications to prospective providers upon request of Manager, Network Provider, and/or Provider Contracting.

• Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures.

• Forwards requested information/documentation to prospective providers in a timely manner.

• Maintains database of all contracts and specific applications sent to prospective new providers.

• Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team.

• Sends out new provider welcome packets to providers who have contracted with the Plan.

• Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management.

• Comply with required workplace safety standards.

• Prepares and sends out Closed Provider Panel letters to providers that do not meet Provider Contract Criteria.

• Coordinates/documents workflow between providers, and other internal departments.

POSITION QUALIFICATIONS

• Management Skills - Ability to organize and direct oneself and effectively supervise others.

• Business Acumen - Ability to grasp and understand business concepts and issues.

• Technical Aptitude - Ability to comprehend complex technical topics and specialized information.

• Communication, Oral - Ability to communicate effectively with others using the spoken word.

• Communication, Written - Ability to communicate in writing clearly and concisely.

• Interpersonal - Ability to get along well with a variety of personalities and individuals.

• Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

Experience:

1 plus years of experience in customer service, contracting or claims experience.

Preferred Experience: Managed care experience.

Computer Skills: Good computer skills included in the MS Office products (Word, Excel, Access).

Other Requirements:

Ability to demonstrate knowledge of general office skills.

Ability to research and resolve issues.

Excellent organizational and verbal and written communication skills.

Ability to maintain attendance to support required quality and quantity of work. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

Please contact dana.more@modis.com with your updated resume (with contact information ) for immediate consideration

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.modis.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records

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