Fee Schedule Coordinator

4 days ago


Miami, Florida, United States Femwell Group Health Full time
About Femwell Group Health

Femwell Group Health is a leading management services organization dedicated to helping physicians run their practices more efficiently and provide better care for their patients. With a strong focus on operational health, we support hundreds of physicians in Florida, from Miami to Jacksonville, with services designed to manage and grow their practices.

Job Title: Fee Schedule Coordinator

We are seeking a detail-oriented Fee Schedule Coordinator to manage and optimize our contracted payor rates. As a key member of our Managed Care team, you will work collaboratively with the analytics team and various departments to ensure accurate fee schedule management.

Key Responsibilities:
  • Contract Interpretation: Understand and interpret contracted rates for each payor to ensure accurate application across all practices.
  • Collaboration with Analytics: Collaborate closely with the analytics team to obtain and analyze fee schedules for each payor, ensuring alignment with contractual obligations.
  • Data Management: Load and maintain each fee schedule in the designated database using standardized naming conventions for easy access and identification.
  • Provider Specialties Linking: Accurately link all fee schedules to the corresponding provider specialties to facilitate proper billing and reimbursement.
  • Tax Identification Tracking: Track and maintain overrides related to tax identification numbers to ensure compliance and accuracy in billing.
  • Immunization and Injectable Fee Updates: Update quarterly immunization and injectable fee schedules for all health plans, ensuring current rates are reflected in our systems.
  • Insurance Plan Integration: Link new insurance plans and products to all relevant fee schedules and providers to maximize reimbursement opportunities.
  • Underpayment/Overpayment Management: Generate and analyze claim reports to ensure accurate reimbursement following contract negotiations or the onboarding of new providers.
  • Inquiries and Support: Research and respond to fee-related inquiries promptly, providing clear and accurate information in both oral and written formats.
  • Special Projects: Participate in special projects related to fee schedules, contributing insights and analysis to enhance our fee structure.
  • Documentation Management: Log and maintain all fee schedule documents in an organized manner for the office managers.
Qualifications:
  • Proficient in Microsoft Excel and PowerPoint.
  • Exceptional written and verbal communication skills.
  • Skilled in prioritizing and managing multiple tasks simultaneously.
  • Highly organized with strong analytical abilities.
  • Capable of collaborating effectively with team members as well as working independently.
  • Demonstrated ability to perform well under pressure and meet deadlines.


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