As a Contract Specialist, my focus is to maintain and update our current system that holds all of our Provider information. Building a relationship with all of our departments is important, since the Contracting Department is the core department that allows the company to function. Another focus of mine, is Network Adequacy; making sure that we have plenty of Providers for each specialty, and that we have plenty of coverage for all of our service areas based on Health Plan, City, & State guidelines.Working with Microsoft Excel, Word, & Outlook is also a daily requirement, as updating contracts, and system occurs on a daily basis. Being flexible, and being able to multitask allows me to complete tasks in an efficient manner.I also currently oversee the major reporting for our Contracting Department. I run reports on a consistent basis, as new information is added daily. Being able to manipulate the data and apply it to what I need is critical in my analysis of our overall network.Auditing is also a major aspect of this position. When we receive a request to update an existing Provider Contract, we split the work of creating that Amendment into drafting and auditing roles. My job as the auditor is to review the drafter’s Amendment and correct any mistakes that may have been made, so that we send a perfect version of the Amendment out for possible signatures.Generating Contracting Documents such as Amendments to adjust Reimbursement, Provider Demographics, and even contract language - as well as New Contracts for incoming Health Care Providers is a big part of what I do. Making sure information is accurate and precise is critical to the success of the department.

Duties: Initiate contracts with non-contracted specialists to improve network adequacy for Easy CareMSO clients, negotiate rates as directed by manager, follow-up on pending contracts, track and report on contracts status, manage and resolve specialist contract issues, escalate issues and barriers to management, respond to inquiries from contracted specialists, educate specialists on appropriatebilling process, track credentialing process for newly contracted specialists.Special Projects CoordinatorDuties: Assist provider unit in data entering backlog of new providers into Easy Care's providerdatabase, organize and file backlog of completed contracts, data enter new provider contracts for each contracted IPA, resolve provider claims errors by researching and updating incorrect providerbilling info.Front Office Reception/Customer ServiceDuties: Manage front office responsibilities such as greet incoming clients and guests, answer incomingphone calls in a timely manner, triage calls and route to appropriate departments (Claims, Authorizations, Network Relations, Member Services, Eligibility, and Contracting Departments), processand respond to phone calls requesting status on claims, authorizations, contracts, member eligibility, member information, manage and respond to provider complaints.

Provide excellent customer services to clientele by responding to questions regarding dining facility services, responding to any clientele complaints, clean and maintain facility by completing assigned responsibilities in a fast paced environment, perform duties under pressure and multi-task duties as assigned, able to work various schedules as assigned by manager.

Provide on campus group tours to undergraduates, become knowledgeable and up to date with campus services, programs, and campus history, ability to respond to questions and comments in group settings, manage time allotted to complete tours in a timely manner, provide recommendations to management regarding improvement to tours, able to work with co-workers with various backgrounds and personalities.