Job Title: Network Operations Coordinator
Reports To: Director, Network Operations
Department: Network Operations
Last Revision Date: 04/2025
FLSA: Non-Exempt
Approved By: Stephany Nino
Job Summary: The Network Operations Coordinator provides essential administrative and operational support to the Network Operations team. Responsibilities include data entry, managing and scanning contracts, maintaining documentation, using ticketing systems, and facilitating communication with provider offices. This role supports internal project managers and handles provider outreach and troubleshooting. The ideal candidate is fully bilingual (English/Spanish), highly organized, and comfortable in a fast-paced healthcare environment.
Essential Duties and Responsibilities - Accurately enter and update provider data in internal systems and spreadsheets.
- Monitor and respond to provider-related requests using a ticketing system to ensure timely resolution.
- Scan, upload, and electronically store provider contracts and related documentation.
- Maintain organized paper and digital filing systems for all provider records.
- Provide day-to-day administrative support to the Network Operations team.
- Call provider and doctor offices to obtain missing information, resolve issues, and assist with credentialing or onboarding questions.
- Conduct outreach to new and existing providers regarding contract requirements, signatures, and follow-ups.
- Assist in the preparation and management of credentialing documentation as required by Payor contracts, including Medicare and Medicaid.
- Coordinate internally with other departments to ensure accurate, up-to-date information is shared across teams.
- Performs other duties as assigned.
Knowledge, Skills and Abilities - Adaptable and flexible with ability to work in a fast-paced growth environment.
- Strong interpersonal and communication skills, including comfort making phone calls to providers.
- Organized and efficient in managing both paper and electronic documentation.
- Is proficient in Microsoft Office (especially Excel and Outlook); experience with EMRs or healthcare databases is a plus.
- Comfortable using a ticketing system to track and follow through on requests.
- Ability to multitask, prioritize tasks, and meet deadlines in a high-volume, fast-paced setting.
- Professional, dependable, and discreet with sensitive healthcare information.
Minimum Education and Experience - High school diploma or equivalent required; Bachelor's degree preferred.
- Minimum of 3-4 years in an administrative or operations support role, ideally within a healthcare or provider network setting.
- Experience working with Medicare/Medicaid provider credentialing preferred.
- Prior experience handling contracts and supporting a project or operations team is strongly desired.
- Fully bilingual (English and Spanish) - both written and verbal communication required.
Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.