Contract Support Specialist

Job Summary

Coordinates incoming correspondence in Provider Services; including reviewing and researching the issue / request, maintaining a log of all requests received, and electronically distributes all requests to the appropriate department / staff within expected timeline(s).

Ensures all provider agreements received in Provider Services are appropriately and timely scanned / imaged into the contract management system;

including reviewing the agreement for any redlined changes, maintaining a log of all agreements received and quality controls the agreement image.

Education & Experience

Required :

o High School Diploma or GED

o 2 years of varied responsible experience with computer database programs

Preferred :

• 2 years data entry experience
• Experience using provider data management system and / or contract management system(s)
• Experience working for a managed care program or health care provider

Key Responsibilities

• Effectively communicate through writing and / or by phone when contracting internal and external customers in order to triage and bring resolution to incoming workload.
• Review / research all contact notes receives in Provider Services; electronically distributes to appropriate department / staff within expected timeline(s).
• Review / research all incoming inter-office mail and external correspondence for provider data correction requests and distribute to appropriate department / staff.
• Reviews / researches all provider agreements received in Provider Services for accuracy and completeness, identifying any inappropriate redlined changes.

Recognize issues with agreements and determine appropriate handling.

• Maintains a log of all provider agreements received in Provider Services.
• Scans / images all provider agreements received in Provider Services; applies quality controls to ensure image quality.
• Assist with development and updating of protocols and desk procedures.
• Triaging and tracking issue resolution to completion.
• Perform other duties as assigned

Competencies

Commitment to Task : Ability to conform to established policies and procedures; exhibit high motivation.

Communication / People Skills : Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles;

Listen critically; Collaborate.

Computer Literacy : Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Organizational Skills : Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.

Problem Solving / Analysis : Ability to solve problems through systematic analysis of processes with sound judgment; Has a realistic understanding of relevant issues.

Technical Skills : Thorough knowledge and complete understanding of the credentialing process and requirements; Proficient with Word, Excel, Visual Cactus 3.

0, and the ability to produce reports through querying; Working knowledge of the VA policies and procedures outlined in the VA Operations manual, VA Policy Manual, DoD Regulations, and the TriWest Central Region RFP