Coord. PFS Contracts-Patient Accounting

University Medical Center of El Paso (UMC); El Paso (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

University Medical Center of El Paso (UMC) is seeking a Managed Care Contracts Coordinator to develop and implement contract reimbursement models aligned with executed terms, and to identify discrepancies in system calculations. The role directs reconciliation of payment variances and ensures accurate contract administration.

The position acts as a liaison with Managed Care, Revenue Cycle and PFS management to recommend and implement issue resolution for timely reimbursement and contract

Qualifications

• Two years of experience in a healthcare business office or related field.
• One year of experience with claims processing, third-party reimbursement and managed care contracting preferred.

Skills

Ten-key by touch

PM and Patient Accounting systems

Interpersonal diplomacy

Contract terms analysis

Financial analytics

Communication skills

Deadline management

Decision making

Independent & team work

Computers & accounting systems

MS Excel, Word, PowerPoint

Time management

Education

Bachelor's degree in Business or Healthcare related field

Tools

Microsoft Excel

Microsoft Word

Microsoft Access

PowerPoint

Job description

Job Description

Reporting to the PFS Manager, and employing a contracts management system, the Managed Care Contracts Coordinator is directly responsible for developing and implementing contract reimbursement models according to executed managed care contract terms, identifying and analyzing discrepancies in system and managed care reimbursement term calculations and reconciliation of payment variances. Acts as intermediary with Managed Care, Revenue Cycle and PFS management to accurately administer contract terms, identify, recommend and implement issue/problem resolution necessary to affect timely and accurate reimbursement.

Summary

Job Description

Reporting to the PFS Manager, and employing a contracts management system, the Managed Care Contracts Coordinator is directly responsible for developing and implementing contract reimbursement models according to executed managed care contract terms, identifying and analyzing discrepancies in system and managed care reimbursement term calculations and reconciliation of payment variances. Acts as intermediary with Managed Care, Revenue Cycle and PFS management to accurately administer contract terms, identify, recommend and implement issue/problem resolution necessary to affect timely and accurate reimbursement.

Required Skills

• Ten-key by touch required.
• Knowledgeable of Patient Management and Patient Accounting systems.
• Ability to deal tactfully with Network Representatives, Manage Care Director, Associates and the general public.
• Analytical ability to comprehend, interpret and explain complex contract terms.
• Strong financial analytical skills
• Strong oral and written communication skills
• Detail oriented, ability to set and meet deadlines, and support multiple projects
• Solid decision making skills
• Ability to work independently as well as in a team environment.
• Skilled in knowledge of computers and accounting systems
• Proficiency with Microsoft Excel and Word. Access and Power Point
• Time management skills.

Required Experience

• Work Experience:

A minimum of 2 years experience in a healthcare business office or related field required and one-year experience with claims processing and third party reimbursement and managed care contracting preferred.

Education and Training

Bachelor''s degree in Business or Healthcare related field required.