Contracts Coordinator

HCA Healthcare; Denver (CO); On-site; USD 62,000 - 93,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) Plan with match

Education support

Paid time off / family leave

Employee stock purchase plan

Job summary

HCA Healthcare's HealthONE division in Denver is seeking a Contracts Coordinator to manage credentialing files and provider data. You will review applications, verify information, and communicate with practices and HealthONE facilities to ensure completeness and accuracy.

The role emphasizes attention to detail, confidentiality, and the ability to work under pressure. A high school diploma and healthcare credentialing exposure are preferred, with benefits supporting career growth.

Qualifications

• High school diploma or GED with college coursework in Medical Staff Service Sciences, Business or related field.
• Minimum of two years experience in professional credentialing in a healthcare setting.

Responsibilities

• Review credentials for doctors and APPs, including primary source verifications and supporting documents.
• Communicate with applicants and HealthONE facilities regarding credentialing details.
• Enter data in provider systems and ensure completeness and accuracy per policy.

Skills

Office skills

Interpersonal skills

Teamwork

Relationship building

Communication skills

Attention to detail

Education

High school diploma or GED

College coursework in related field

Job description

Salary Estimate: $62129.60 – $93163.20 / year

Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Contracts Coordinator today with HCA HealthOne.

Job Summary and Qualifications

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

• Complete file review for initial and reappointment applications from doctors and advanced practice professionals at the time the application is released from the Credentials Processing Center (CPC). File review includes reviewing the following elements and completing any necessary follow up:
• Application and HealthONE Addendum Application
• Privileges
• Primary Source Verifications (education, training, affiliations, work history, peer references, certifications, licensure, DEA, gaps in time, NPDB, background, etc.)
• Dynamic credentials (insurance, etc.)
• CME/CEUs
• HealthStream Courses
• Life Support Certifications
• Immunizations (i.e., PPD, flu)
• Case logs/activity
• CV/Resume
• Supporting documents (i.e., Authorization/Attestation/Release, Confidentiality and Security Agreement, Practitioner Acknowledgement, Pharmacy Signature, etc.)
• Market forms (HIM electronic signature/edit, MRSA, HealthONE Medical Staff Code of Conduct, Physician Referral Services, APP orientation acknowledgement form, Medical Necessity/Reflex Testing, etc.)
• Red/Yellow flags
• CPHP and/or CPEP reports, if required.
• Aging Provider Assessment for providers 70 and older
• Build new providers and update existing providers in the Meditech Provider Dictionary for RFCs/RRFCs
• Build new providers in eSAF and HealthStream/Physician Learning Center
• Pull case logs/activity reports, if needed
• Complete data entry in the Cactus database (i.e., as it relates to the Physician Referral Services Form, Health record, etc.)
• Submit Provider Action Forms as necessary for demographic changes, etc.
• Review all information received and verify completeness and accuracy on content in accordance with policies and procedures.
• Communicate with applicants or their practices and HealthONE facilities regarding many facets of credentialing.
• Transmit documents to the CPC, Alchemy, and HealthONE based on policy and procedures.
• Comply with company and department policies/procedures.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement.”
• Other duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES:

• Maintain working knowledge medical staff credentialing and regulatory requirements.
• Good working knowledge of general/basic office skills, including computer skills, typing skills, filing, business communications including grammar and spelling skills, basic mathematical calculations, etc.
• Ability to organize and prioritize efficiently and effectively.
• Ability to maintain confidentiality of privileged information gained as a result of job functions.
• Strong interpersonal skills.
• Excellent teamwork skills.
• Adept at relationship building.
• Understand the issues related to credentialing.
• Ability to adapt to changing company and departmental needs.
• Proficient in Microsoft Office applications, Internet searches, and relevant data bases.
• Ability to work independently and under pressure to follow through on issues.
• Ability to communicate ideas clearly and concisely, in an effective and appropriate manner, both verbally and in writing, with all levels of customers.
• Ability to establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Ability to work effectively with colleagues, customers, including Medical Staff leaders.
• High degree of accuracy, timeliness, and attention to detail.

EDUCATION

• High school graduate or GED with college course work in Medical Staff Service Sciences, Business or a related field of study, or an equivalent combination of training and experience.

EXPERIENCE

• Minimum of two years experience preferred in professional credentialing in a healthcare facility (i.e., Medical Staff Office), managed care setting, or credentials verification organization

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

As part of HCA Healthcare, we at HealthONE® ( https://healthonecares.com/) serve the metro Denver area as the largest healthcare system, with more than 11,000 employees. Our hospitals — The Medical Center of Aurora, North Suburban Medical Center, Presbyterian/St. Luke’s Medical Center, Rocky Mountain Hospital for Children, Rose Medical Center, Sky Ridge Medical Center, Swedish Medical Center and Spalding Rehabilitation Hospital work together to provide a higher level of care. In addition, our system includes eight hospital freestanding emergency departments and numerous ambulatory surgery centers, eight CareNow urgent care centers and occupational medicine clinics, physician practices, medical imaging centers and AirLife Denver, which provides critical care air and ground transportation serving Colorado and surrounding states.

“The great hospitals will always put the patient and the patient’s family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.”- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.