Senior Network Contract Coordinator

Company: Aston Carter
Location: Gainesville
Posted on: March 17, 2023

Job Description:

Description:Provides a single point of accountability for facilitating complex contract loading and ensuring optimal provider service delivery and database accuracy. Primary duties may include, but are not limited to:

• Identifies, analyzes, and resolves problems for multiple provider database issues.
• Researches and resolves complex issues for multiple business areas to assure accurate reimbursement based on provider contracts and area fee schedules.
• Responsible for complex group assignments in a large geographic territory. Interprets update requests and coordinates with internal and external customers to clarify and complete the requests.
• Provides timely research of complex provider information and creates clear and concise provider database update submissions.
• Reviews incoming contracts and works with the provider relations reps, providers, and the credentialing department to facilitate new and re-contracting efforts for Institutional, Professional, HMO, and Ancillary products.
• Provides guidance and support to teammates on more complex issues.Top Skills Details:
  • Provider Relations,
  • Scheduling
  • Contract administration
  • ComplianceAdditional Skills & Qualifications:
    • Requires provider negotiations ( of contracts,) credentialing background , and/or sales experience.
    • Strong communication skills, and intermediate experience using Excel,
    • Requires a BA/BS degree in a related field; 5 years experience with provider contracts, plan procedures, and policies; or any combination of education and experience, which would provide an equivalent background .Experience Level:Expert Level About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit . Aston Carter is a company within Allegis Group, a global leader in talent solutions. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aston Carter, Gainesville , Senior Network Contract Coordinator, Other , Gainesville, Florida