Payor Strategy Contract Coordinator

🔥 1 minute ago

🐊 Florida, Ohio, +3 more states – Remote

🐊 Florida – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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TridentCare

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

Healthcare • B2B

<TridentCare> TridentCare is a national provider of mobile and on-site diagnostic healthcare services, delivering digital X‑ray, ultrasound, EKG, laboratory/phlebotomy, and vascular access (PICC) services directly to patients in skilled nursing facilities, assisted living and hospice, at-home settings, correctional/behavioral facilities, government agencies, and commercial sites. The company emphasizes licensed, certified clinicians, strict regulatory accreditations (ACR, CLIA, CAP, COLA), and technology-enabled workflows via its TridentConnect EMR integrations and HITRUST‑certified platforms to streamline diagnostics and protect patient data. TridentCare partners primarily with healthcare providers and agencies to expand access, improve operational efficiency, and maintain continuity of care.

📋 Description

• Manage managed care contract administration across all Trident business entities • Report directly to the Sr. Manager RCM, Payer Strategy • Work with Management Team members and Sales team to identify contracting and business-related opportunities • Analyze contracts for efficiencies and profitability • Implement contracts operationally and audit payments for accuracy across all lines of business • Manage the contractual process through submission and response of managed care proposals and payor paperwork • Serve as primary liaison for regional payors • Maintain electronic copies of signed contracts in accordance with federal, state, and local guidelines • Outline contract provisions and analyze rate impact • Assist the Reimbursement team with non-government payor audits and inquiries • Review proposals and responses with the Sr. Manager for approval • Work with System Support to load and test fee schedules and new filing formats • Disseminate Health Plan Contracting Announcement Forms to affected personnel • Document contract terms, fee schedules, and billing requirements • Keep fee schedules current according to contractual terms • Communicate new and amended contracts to internal departments • Audit processes to secure optimal status • Develop and execute contract documents aligned with annual strategy • Prepare opportunity analyses for pricing and in-network/out-of-network decisions • Evaluate contract profitability and renegotiate or terminate contracts when necessary • Maintain payor participation listings for billing and sales teams • Develop solutions for payor and contract-related issues with Billing Management • Identify problem payors and reimbursement trends affecting cash collections • Educate internal and external clients about exceptional payer requirements • Pursue payor contracts based on volumes, payments, collection percentages, and sales opportunities • Liaise between Billing A/R and payor relations when contractual A/R issues escalate • Perform other duties as assigned

🎯 Requirements

• 3 years prior contracting experience • 4 years minimum experience in health care billing/accounting required • High School Diploma required • Experience with contract management software preferred • Comprehensive knowledge of managed care for non-government payor relations programs • Excellent verbal and written communication skills • Deep understanding of payer dynamics, including value-based care models and healthcare regulation • Proven track record in contract negotiation and managing end-to-end sales processes • Ability to meet established deadlines and handle multiple customer service demands from internal and external customers • Strong attention to detail • Goal oriented • Ability to multi-task in a fast-moving environment and work with multiple deadlines • Proficient in Microsoft Office suite, including Excel, Word, and PowerPoint • Intermediate Microsoft Office skills • Advanced English written/verbal communication • Advanced computer skills • Intermediate typing skills, minimum 35 wpm • Internet access required • Team player • Detail oriented