Provider Networks Operations Coordinator

Heritage Health Solutions Inc; Coppell (TX); On-site; USD 55,000 - 65,000; Full time

Job summary

Heritage Health Solutions Inc in Coppell, TX is seeking a Provider Networks Coordinator to collect and store provider information used to establish and maintain Provider Networks in various geographic areas. Key focus includes P&L for the Outside of the Walls Medical Networks Division and coordinating with subcontractors to meet contract parameters.

The role requires planning, organization, and strong collaboration with the director and credentialing team to ensure contract deliverables and

Qualifications

• High School Diploma required; Bachelor’s Degree preferred.
• Minimum 2 years’ experience in health care or contract administration required.
• Ability to manage provider directories and maintain confidentiality.

Responsibilities

• Manage all in network provider information in various areas/databases.
• Monitor and Manage provider directories and updates as needed.
• Distribute and communicate updated directory information to external customers.
• Obtain missing information from in network and out of network providers and enter into database.
• Collect credentialing documents from contracted providers and forward to credentialing team.
• Identify plan gaps and work with Director to recruit new specialists.
• Assist Director with preparing new provider contract agreements and packets as needed.
• Assist Director with all operational resources and activities to operate within budget, maximize investments, increase effectiveness, and comply with all contract requirements.
• Maintain communication with appropriate customer contacts.

Education

Bachelor’s Degree

High School Diploma

Job description

Heritage Health Solutions Inc in Coppell, TX is seeking a Provider Networks Coordinator to collect and store provider information used to establish and maintain Provider Networks in various geographic areas. Key focus includes P&L for the Outside of the Walls Medical Networks Division and coordinating with subcontractors to meet contract parameters.

The role requires planning, organization, and strong collaboration with the director and credentialing team to ensure contract deliverables and