Contracts Administrator

The Contracts Administrator is responsible for working with the Healthcare Policy & Contracting team to ensure that all contracts are updated, maintained, and compliant. Additional responsibilities include team mailbox management and administrative tasks for the team.

Contract Administration: Ongoing auditing of current and new contracts to ensure all contracts are valid.

• Central repository for all contracts and contracting documents

• Reimbursement Mailbox

• Maintain all copies of contract redlines and final signed and executed contracts

Credentialing/Enrollment: Coordinates and facilitates the enrollment of Tobii Dynavox credentialing and enrollment with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based on licensing requirements and various insurer payer requirements. Obtains information from professional providers and other sources. Completes timely application processes based on payer specific formats. Continually follows up on enrollment and/or recredentialing statuses until complete. Resolves issues as they are identified in a timely manner. Maintains systems/applications used in the enrollment processes.

Data Management: Responsible for data management within Salesforce, OMI, and other integrated company systems. Alignment of data from and to each system to allow for cohesiveness between Funding, Billing & Collections, and Finance.

As an Contract Administrator, you will be responsible for:

• Follow company rules and guidelines when reviewing contracts

• Retrieves applications and/or data from central repositories for provider data. Accesses various external websites, internal matrices, and contacts organizations to verify accuracy of information provided. Identifies whether application and/or document is clean or requires further review and routes to appropriate area. Enters verified data into the Provider Data Management Systems.

• Electronically contacts providers and/or internal departments when data is incomplete. Works with internal staff members, provider office staff, academic entities and/or other health related entities to obtain additional information.

• Generates reports from system for prioritization of work queue.

Credentialing/Enrollment Responsibilities:

• Completes provider payer enrollment/credentialing and recredentialing with all identified payers in a timely manner.

• Resolves enrollment issues through collaboration with internal teams.

• Obtains and submits updated provider information from various sources state licensing, CMS, and other regulatory boards.

• Proactively obtains updated provider credentialing data prior to expiration. Creates, develops, and maintains applicable matrices and/or utilizes departmental software that supports the enrollment functions. Completes all additions, updates, and deletions.

• Communicates updated payer enrollment information including payer provider numbers.

• Develops databases and spreadsheets for tracking organization providers. Ensures data is accessible/transparent for executive inquiries or other information as deemed necessary by management.

• Continuously searches for process improvements to achieve accuracy and efficiencies.

• Performs other duties as assigned

Training Responsibilities:

• Liaison between departments for inter-departmental communication

• Content creation and delivery of healthcare policy updates

What you'll bring:

• Bachelor’s Degree or 3-5 years equivalent experience

• 3+ years third party payer experience

• Knowledge of DME Billing and Prior Authorizations

• Ability to work cooperatively as a member of a team

• Demonstrated ability to communicate with clinical and reimbursement specialists

• Ability to communicate at all levels within an organization

• ERP/CRM experience preferred

• MS Office, including MS Word and Excel

• Excellent organizational abilities

• Detail oriented

• Minimal travel may be required

• Ability to work with interruptions

• Thrive in a fast-paced work setting