Coord. PFS Contracts-Patient Accounting

Umcelpaso; El Paso, Northern (TX, KY); On-site; USD 60,000 - 80,000; Full time

Job summary

University Medical Center of El Paso seeks a Managed Care Contracts Coordinator to develop and implement contract reimbursement models aligned with executed terms. The role analyzes discrepancies in system and term calculations and reconciles payment variances.

The coordinator works with Managed Care, Revenue Cycle and PFS management to ensure timely, accurate reimbursement and to resolve issues impacting contract terms and payments.

Qualifications

• Ten-key by touch is required.
• Knowledge of Patient Management and Patient Accounting systems.
• Ability to deal tactfully with Network Representatives and management.
• Ability to interpret and explain complex contract terms.
• Strong financial analytical skills.
• Strong oral and written communication skills.
• Detail oriented; able to meet deadlines and support multiple projects.
• Solid decision making skills.
• Ability to work independently and in a team.
• Proficiency with computers and accounting systems.
• Microsoft Excel, Word, Access and PowerPoint proficiency.
• Strong time management skills.

Responsibilities

• Develop and implement contract reimbursement models per contract terms.
• Identify and analyze discrepancies in system and reimbursement term calculations.
• Reconcile payment variances.
• Serve as intermediary with Managed Care, Revenue Cycle and PFS management to administer contract terms.

Skills

Ten-key by touch

Patient management systems

Communication skills

Analytical ability

Financial analysis

Time management

Independent work

Accounting systems

MS Excel

MS Word

MS Access

PowerPoint

Education

Bachelor's degree in Business or Healthcare related field

Tools

Excel

Word

Access

PowerPoint

Job description

• Facility University Medical Center of El Paso

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:

• A. 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.
• B. Education and Training: Bachelor's degree in Business or Healthcare related field required.