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Job: Contract Management Team Lead

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Job Description

JOB SUMMARY:

Under the direct supervision of the Business Office Manager, the PCON Team Lead is responsible for coordinating the daily activities of the Contract Management Team, ensuring contracts are updated in PCON/ other contractual systems and that contractuals are posted appropriately to Patient Accounting.

 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  1. Coordinates and complies with processes for the application, review and appropriate correction of patient accounts as it relates to posting of manual and auto-posted contractuals. 
  2. Proactively trend and monitor information to ensure appropriate posting of contractuals. 
  3. Responsible for review of manual contract adjustments submitted by Business Office staff and approval of any manual adjustment greater than $25.00.
  4. Assist the Manager in the training and development of staff related to government and non-government account management
  5. Participate in monthly meetings to include department and denial meetings Comply with all reimbursement and billing procedures for regulatory, third party and private insurance payers.
  6. Developing and maintaining positive relationships with employees, management and other support staff.
  7. Promote the department as a service organization and continuously work to identify and satisfy the needs of customers.
  8. Other duties as assigned.
  9. Supportive of the compliance program set forth by IASIS and demonstrated by:

a.       Upholds the IASIS Standards of Conduct and Corporate Compliance

b.      Adheres to and helps to enforce all compliance policies relevant to his/her area.

c.       Assures timely compliance education as requested by the Regional Compliance and Safety  Officer and/or through corporate initiatives.

  1. Sets an example to all staff in their daily activities.

 



Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering quality practices.
  • Financial Management - applies tools and processes to successfully manage accounts receivables to contract agreements.
  • Organizational and delegation skills - proactively prioritizes needs and effectively manages resources.
  • Tactical execution - involved in the development, deployment and direction of programs and processes.
  • Customer service skills - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
  • Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures, and systems.
  • Ability to communicate clearly and concisely through presentations, written reports, policies, meetings, and telephone calls.
  • Ability to maintain confidentiality.
  • PC Skills - Microsoft Office (excel, power point, project, and word).

 

 

EDUCATION & TRAINING:       

    • Undergraduate degree in a Business field or    
    • Minimum 5 years hospital business office experience.

 

LICENSE/REGISTRATION/CERTIFICATION:         

  • None

 

WORK EXPERIENCE:

  • Five years Receivable Management experience.
  • Multi-facility experience preferred.

 

 

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