Encore Provider Contracting Support - Remote
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Job description
This position is responsible for supporting the Florida Network Management, Contracting Department associates regarding network development, contracting, and relationship management with hospital, physician and ancillary providers., * Support Provider Contracting administrative tasks that occur in the new contract lifecycle.
- Confirm provider demographics during prospect phase and contract loads during installation phase.
- Request, receive and send final fee schedule to/from providers.
- Convert partially/fully executed agreements to PDF.
- Generate provider change & acquisition reports on a monthly basis or as needed.
- Process contract amendments that do not materially impact the network (including TIN/Name changes).
- Create SharePoint folder and upload executed contracts
- Send request for provider credentialing and facilitate the administrative components until completion.
- Host Contracting Team meetings, including contract review meeting.
- Coordinates Projects, to include assistance in creation & maintaining project trackers, hosting project meetings & status report out.
- Creates PowerPoints decks, graphs, excel spreadsheet, to include v-lookups & advanced excel formulas, as needed for special projects &/or team request.
- Data extraction & scrubbing from various databases.
- Receive communications from providers (or business partners), including but not limited to negotiated contract request from PSU, signed contracts, etc.
- Monthly review & assignment of contract affordability opportunities.
- Help coordinate provider terminations of Hospital, Ancillary & Professional groups.
- Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing.
- Assists in the analysis and trending of audit findings.
- Responsible for data management, including data support for strategic initiatives and performance metrics.
- Prepares and reviews outgoing correspondence, minutes, policies, letter, and reports.
- May provide guidance, coaching, and direction to more junior members of the team in Provider Contracting.
- Follow prescribed guidelines for filing company documents and handling proprietary information.
- Review and corrective actions for accuracy of provider directories and listings
- Serves as the office liaison to schedule meetings, obtain conference rooms.
- Respond to requests for printing/shipping projects in a timely manner
- Other project work and duties as assigned.
Requirements
Do you have experience in Presentation preparation?, Do you have a High school diploma or GED?, * High school diploma or GED required, or equivalent work experience.
- 1+ year experience of administrative experience
- Proficient with creating PowerPoint Presentations and reports in Excel, required.
- Very strong organizational skills with ability to perform and prioritize multiple tasks with excellent attention to detail.
- Data Analytical Skills.
- Expert/Advanced Skill set in Microsoft Excel (formulas, graphs, charts, etc.)
- Proficient in Microsoft Office PowerPoint, Word and Outlook.
- Excellent written and oral communication skills.
- Possess a strong sense of urgency and the ability to work in a very high-paced environment with the ability to managed multi tasks.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
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