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Provider Contract Coordinator - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 159067
The Provider Contract Coordinator establishes and serves as expert support for all Provider Contracts requirements for the organization. Organizes inventories and monitors all contracts for quality and accuracy. Ensures all contract requests are submitted to CONRAD and the appropriate Contract Analyst within one business day. Works with the request of the contract analyst that all contracts are sent to provider within 3 business days of request. Set-up and Maintain information for Network recruitment inclusive of research and coordination with the credentialing department. Ensure that no providers are loaded in MedMC as effective unless cleared by credentialing and the Board. Make sure all files in pending status are followed up in a timely manner indicated in the departmental policy and procedure. Utilize MedMC, Laser fiche and other CHC software tools. Ensure quality and completeness of information in files and loaded in laser fiche (W-9, correct agreement, TSA, correct effective dates etc.) Run reports timely and as requested by VP Network Management and Directors. Works collaboratively with coworkers to deliver member/provider expectations as evidenced by annual CHC Provider Satisfaction Survey scores of Overall Satisfaction with CHC/Health Plan. Delivers exceptional customer service by embracing ServiceFirst standards of behavior during all provider, member, visitor and staff encounters Friendliness: Make eye contact and smile. Introduce yourself; offer assistance. Say the member/provider/coworker's name often. Integrity: Ensure customers right to privacy and modesty. Do what you say you'll do. Exceed expectations. Responsibility: Live Harris Health System and CHC's mission. Be accountable. Take pride in your appearance and keep our facilities clean. Satisfaction: Say words like, my pleasure, and I'll be happy to. Give everyone prompt service; keep them informed. Teamwork: Respect and encourage co-workers so our members/providers/visitors' needs are met. Encourage co-workers and recognize them for a job well done.
MINIMUM QUALIFICATIONS: BS or equivalent work experience in health care related field
A minimum of 2 year work experience in a health care related field. Knowledge of contracting.
Communication Skills: Exceptional Verbal (e.g., Public Speaking) Bilingual Skills Required? No Writing /Composing (Correspondence/Reports)
Other Skills: Analytical, Mathematics, Statistical, Typing wpm, P.C., MS Word, MS Excel, MS Access
Work Schedule: Weekdays Monday thru Friday 8am - 5pm
Other Requirements: Diligent, accurate data entry, well organized, attention to detail. Familiarity with medical coding
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.