Contracts Assistant - 100% Remote

Contracts Assistant – Remote

(Request ID: 45041-1)

We are looking to hire a candidate with the below skill sets mentioned and experience for one of our major clients within the Health Insurance industry. This position is 100% REMOTE. This is a 6-month contract opportunity with the potential for extension. Interested candidates may share their updated resumes with Carolina – OMG Technologies.

• Position is remote, and candidate can sit anywhere in the US, but must be able to work PST hours. The schedule will be Monday to Friday 8:00 am to 5:00 pm PST.

Position Summary:

Contractors will be researching Provider contracts, performing outreach to Providers to validate data, and sending updated contracts. Prepares and sends out Closed Provider Panel letters to providers that do not meet Provider Contract Criteria. Coordinates/documents workflow between providers, Contract Managers, and other internal departments.

Responsibilities:

• Ensures the timely flow of provider contracts and applications to prospective providers. Maintains multiple provider network resources.
• Maintains database of all contracts and specific applications sent to prospective new providers.
• Formats and distributes Provider network resources (e.g., electronic specialist directory).
• Completes and updates (CIF) forms for each new contract.
• Comply with required workplace safety standards. State Plan / Department.
• Provides general support for Provider network development projects as needed.
• Receives calls from prospective providers and answers questions regarding the contracting process, policies, and procedures.
• Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to the Provider Configuration team.
• Utilizes Plan’s system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management.
• Forwards requested information/documentation to prospective providers in a timely manner.
• Sends out contracts/applications to prospective providers upon request of the Director or Manager and/or Provider Contracting and/or Service team members.
• Sends out new provider welcome packets to providers who have contracted with the plan.

Required Skills/Experience/Education:

• Ability to abide by Molina’s policies.
• Microsoft Office Products (Word, Excel, and Access).
• Should have experience in the Provider space, including experience with Provider data and experience with Provider outreach.
• Ability to demonstrate knowledge of general office skills.
• Ability to research and resolve issues.
• High School Diploma or equivalent GED.
• 2+ years of customer service, provider service, contracting, or claims experience.
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.
• Ability to maintain attendance to support the required quality and quantity of work.
• Should have 2+ years of administrative experience.
• Excellent organizational and verbal and written communication skills.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

Other job specifications:

• Contract Rate/Salary: $25/hr. on W2.
• The Schedule: Monday to Friday 8:00 am to 5:00 pm PST.
• Employment Type: Contract to Hire (CTH), W2 only. NO C2C.
• Contracting Period : 6-month contracting opportunity with the potential for extension and/or permanent employment.
• Job Location: 100% REMOTE. The candidate can sit anywhere in the US but must be able to work PST hours.
• Interview Process: Phone/WebEx

Interested candidates may share their updated resumes with Carolina – OMG Technologies.

Contracts Assistant - 100% Remote