NextCare Introduction

NextCare strives to be the leader in high access healthcare, offering urgent care, occupational health, virtual health and primary care services to our patients. With offering services in twelve states (Arizona, Colorado, Kansas, Michigan, Missouri, New Mexico, Nebraska, North Carolina, Oklahoma, Texas, Virginia and Wyoming) and over 170 urgent care clinic locations, we offer exceptional, affordable care to patients across the country.

At NextCare, we constantly strive to provide you with the highest degree of caring, growth, integrity, results and teamwork. These essential core values form the foundation of our relationships with patients, customers, investors, partners and one another. Extraordinarily high-performance standards serve as critical guides for making important clinical and business decisions. The expression of these standards is evident in our behavior, our attitude, and our approach to our daily work. The product of our strict adherence to core values is the ability to harness tremendous organizational energy to achieve our goal of upholding the highest standard for quality and service within the high access healthcare. This unique combination of values, performance standards and commitment serves as the key to our success.

What we are looking for

A Contract Coordinator

Location

Join our team in Tempe, AZ - This is a Remote - Work at Home position for candidates in the Phoenix, AZ metro area only. Candidates must live in either Maricopa or Pinal County, Arizona ONLY.

Responsibilities

The Contract Coordinator assists upper management with tracking, approval, and execution of the necessary paperwork related to payer contracts. The contract & credentialing coordinator assists with credentialing of providers and facilities with all required entities to ensure correct credentialing and billing.

How you will make an impact

• Handle the in-network contracting process from initial contact with a payer to senior management approval and execution to ensure timeliness
• Process and send Letters of Interest, applications, credentialing information, contracts and other payer documents required for in-network contracting.
• Monitor and track submissions and status changes with payers and update internal records.
• Support executive leadership and colleagues with special projects and perform other duties as assigned.
• Coordinate items required by credentialing or other departments
• Ensure all contract documents are in place to be forwarded to the payer
• Follow up with payer on revenue cycle issues related to contract fee schedule and non-credentialed providers
• Maintain payer contract files – electronic and paper
• Run and distribute payer contract reports as required
• Ensure payer information is communicated to all departments appropriately
• Have a working knowledge of Credentialing Provider Enrollment process from Primary Source
• verification to completion of and submitting credentialing applications for both providers and facilities
• Obtain and supply information to correctly bill services
• Completing and submitting group applications for any new contracts
• Assist other members of team as needed
• Have a working knowledge of CAQH files for Providers
• Update processes as needed within Contracting Handbook
• Treats patients and co-workers consistent with the NextCare Mission Statement, Vision, Values and Performance Standards.
• Performs other related duties as assigned or described in Company policy.

Essential Education, Experience and Skills:

Education: Minimum of High School diploma or equivalent
Experience: General computer skills required including experience using Access, Word and Excel. Must
be highly motivated, communicative and knowledge of the entire credentialing process from A to Z for
multiple states

Valued But Not Required Education, Experience and Skills:

Experience: Three or more years of healthcare payer-provider in-network contracting experience with a
successful track record in maintaining all necessary documentation related to contracts. Prior
credentialing experience and knowledge of various Commercial and Work Comp. insurance company
credentialing procedures, to include time lines for credentialing.
Certification: Certified Provider Credentialing Specialist (CPCS) designation is preferred, not required.

Benefits:

NextCare offers full time employees medical, health savings account, NextCare employee visit program, dental, vision, basic life, voluntary employee/spouse/child life, long term disability, short term disability, employee assistance program, critical illness, accident, legal, identity theft and paid time off benefits. Employees of all statuses are offered 401(k) Plan benefits. Employees in select positions are offered shift differential benefits. Benefits are offered per policy and plan rules.

Equal Opportunity Statement

NextCare Urgent Care is an Equal Opportunity Employer.

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