Contracts Coordinator

Salary Estimate: $62,129.60 - $93,163.20 per year. Factors such as skills, experience, and comparison to other employees in this role may determine your actual salary. The typical candidate is hired below the midpoint of the range.

About the Role

At HCA Healthcare, we are committed to caring for patients with purpose and integrity. As a Contracts Coordinator at HCA HealthOne, you will play a key role in supporting the patient experience through medical staff credentialing and contract coordination.

Responsibilities

• Complete file review for initial and reappointment applications from doctors and advanced practice professionals after release from the Credentials Processing Center (CPC).
• Review and verify the following elements, completing necessary follow-up:
  • Application and HealthONE Addendum
  • 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 and Life Support Certifications
  • Immunizations (e.g., PPD, flu)
  • Case logs/activity
  • CV/Resume
  • Supporting documents (e.g., 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 and update provider profiles in the Meditech Provider Dictionary for RFCs/RRFCs.
• Create new provider entries in eSAF and HealthStream/Physician Learning Center.
• Pull case logs/activity reports as needed.
• Complete data entry in the Cactus database (e.g., Physician Referral Services Form, health records).
• Submit Provider Action Forms for demographic changes and other updates.
• Review all received information for completeness and accuracy in accordance with policies and procedures.
• Communicate with applicants, their practices, and HealthONE facilities regarding credentialing matters.
• Transmit documents to the CPC, Alchemy, and HealthONE based on policy and procedures.
• Comply with company and department policies/procedures, including the "Code of Conduct" and "Mission and Value Statement."
• Perform other duties as assigned.

Requirements

• High school diploma or GED, with college coursework in Medical Staff Service Sciences, Business, or a related field, or equivalent training and experience.
• Minimum of two years of experience in professional credentialing in a healthcare facility (e.g., Medical Staff Office), managed care setting, or credentials verification organization (preferred).

Skills

• Working knowledge of medical staff credentialing and regulatory requirements.
• Proficiency in general/basic office skills, including computer skills, typing, filing, business communications, grammar, spelling, and basic mathematical calculations.
• Ability to organize and prioritize tasks efficiently and effectively.
• Strong interpersonal and teamwork skills, with an ability to build relationships.
• Understanding of credentialing-related issues.
• Ability to adapt to changing company and departmental needs.
• Proficiency in Microsoft Office applications, internet searches, and relevant databases.
• Ability to work independently under pressure and follow through on issues.
• Excellent verbal and written communication skills, with the ability to interact effectively with all levels of customers and colleagues.
• High degree of accuracy, timeliness, and attention to detail.
• Ability to maintain confidentiality of privileged information.

Benefits

HCA HealthOne offers a total rewards package that supports the health, life, career, and retirement of our colleagues. Available plans and programs include:

• 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, such as paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources:
  • 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.

Note: Eligibility for benefits may vary by location.

About the Organization

As part of HCA Healthcare, HealthONE® serves the metro Denver area as the largest healthcare system, with over 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. The system also includes eight freestanding emergency departments, numerous ambulatory surgery centers, eight CareNow urgent care centers, occupational medicine clinics, physician practices, medical imaging centers, and AirLife Denver, which provides critical care air and ground transportation across Colorado and surrounding states.