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Contract Coordinator
4 months ago
Job Description:
This position obtains contracting information from the Payer Contracting Department after a contract has been negotiated which enables them to monitor, organize, and analyze the reimbursement that comes into Intermountain. The Contract Coordinator is responsible to keep up to date with contract changes and current contract information. This position works closely with the Contract Coordination Manager, Senior Analysts, Payer Contracting and facility Patient Account Service Departments as a liaison in problem solving and troubleshooting in regards to under and over payments.
Monday-Friday-Mainly remote-reserve the option to be in person from time to time.
Job Essentials
1. Ensures that reimbursement from Third-Party payers is accurate based on appropriate contractual terms and conditions.
2. Evaluates and assures compliance with Patient Account Services operational policies and procedures needed to ensure data integrity.
3. Works contract monitoring reports for all facilities. Indentifies incorrect payments and provides support in obtaining proper reimbursement from the Third-Party Payer.
4. Responds to Third-Party Payers inquiries in regards to complaints, questions and issues for both new and existing contracts.
5. Provides support in conducting periodic reconciliations between Third-Party Payers and Intermountain Healthcare.
6. Works with Third-Party Payers and Patient Account Service departments to identify and solve billing / explanations of payment (EOP) problems, complaints or questions.
7. Acts with minimal supervision while making many complex decisions daily within the scope of this position.
8. Effectively follows through and communicate critical statistics. Has routine access to highly confidential data pertaining to patients, employees, and financial and/or legal matters so breaches of contract language, inaccurate communication of information, or other types of poor performance could be both embarrassing and monetarily costly to the employer.
9. Initiates, researches and analyzes special projects and reports as needed.
Minimum Qualifications
Associates Degree or two years equivalent work experience. Degree must be obtained through an accredited institution. Education is verified.
Associate degree. Education must be obtained through an accredited institution. Degree will be verified.
* or -
Two years of equivalent work experience.
* and -
Three years of experience in the health care industry, health claims billing, or Third Party contacts.
* and -
Experience with word processing, spreadsheet, and database software.
* and -
Demonstrated excellent verbal and written skills and outstanding interpersonal skills.
* and -
Experience organizing and analyzing data.
* and -
Experience making complex decisions while working with minimal supervision.
* and -
Experience in a rapidly changing, customer focused environment.
* and -
Demonstrated ability to follow through and complete projects.
Preferred Qualifications
Medical billing experience.
* and -
Working knowledge of Intermountain's accounts receivable applications.
Physical Requirements:
Interact with others requiring the employee to communicate information.
* and -
Operate computers and other office equipment requiring the ability to move fingers and hands.
* and -
See and read computer monitors and documents.
* and -
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Anticipated job posting close date:
05/16/2024
Location:
Cottonwood Medical Clinic, Intermountain Health McKay-Dee Hospital
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
24
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$21.65 - $32.99
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
