Job Description
Job Description
We are looking for a Contracts Coordinator to join our team in Orlando, Florida. In this role, you will manage essential healthcare operations, including credentialing, contract processing, insurance billing, and resolving claims-related issues. This is a contract-to-hire position offering the opportunity to contribute to a dynamic healthcare environment while ensuring compliance and efficiency in provider and program management.
Responsibilities:
• Distribute monthly rosters to programs and ensure updates regarding new team members, changes, and terminations are accurately reflected.
• Prepare and audit specific roster templates for Managed Medical Assistance (MMA) programs.
• Collaborate with contract representatives and network providers to address and resolve claims-related concerns.
• Facilitate the credentialing process for new programs joining MMAs or insurance companies.
• Manage re-credentialing processes for existing programs and providers as required.
• Update organizational accounts for medical professionals to ensure accuracy and compliance.
• Process contracts received from MMAs and create comprehensive summaries for amendments and agreements.
• Demonstrate cultural and age-specific competencies when interacting with clients, coworkers, and customers.
• Complete credentialing for new medical professionals joining organizational plans, including applying for Florida Medicaid numbers.
• Handle special projects within assigned deadlines, ensuring thorough execution and timely completion.
• Experience in medical billing, including claims and collections.
• Knowledge of handling medical denials and appeals processes.
• Familiarity with hospital billing procedures and practices.
• Strong understanding of credentialing processes for healthcare providers.
• Ability to coordinate contracts and maintain compliance with regulatory standards.
• Excellent organizational and time management skills.
• Proficiency in resolving claims and addressing provider concerns.
• Effective communication and interpersonal skills, with a focus on collaboration and customer service.