All the benefits and perks you need for you and your family:
·Paid Days Off from Day One
·Student Loan Repayment Program
·Career Development
·Whole Person Wellbeing Resources
·Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift : Days
The commun ity you’ll be caring for: AdventHealth Division
·AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
·Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
·Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
·Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
The ro le you’ll contribute:
This position is responsible for contract review and interpretation; as well as, the building and maintenance of rates and terms into designated contract management systems for AdventHealth Florida Division and Ancillaries. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This affords AdventHealth leadership the foundation for reporting and determining overall payer performance and allows AdventHealth the ability to accurately model contracts for future negotiations. The accuracy of these builds is also essential for estimating month-end net patient revenue for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for ease of interpretation and system adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental initiatives, rules and regulations. Develops and maintains a strong working relationship with AdventHealth Florida Division leadership, AdventHealth Central Denials, Regional Revenue Cycle leadership including CBO, UR, CM, Patient Access, Revenue Integrity, HIM, Ancillary facilities and other internal departments in order to ensure compliance and awareness of negotiated contract terms and rates.
The val ue you’ll bring to the team:
· Demonstrates ability to build, maintain and test in complex contract management systems with a high degree of accuracy.
· Responsible for netting down system-wide accounts receivable.
· Responds to frequent inquiries from the corporate Net Revenue Accounting department to facilitate with month end net revenue calculations.
· Responsible for ensuring accurate patient estimation by providing direction to external vendor or through internal reimbursement calculations.
· Responsible for summarizing key contract data elements which are populated into the Managed Care database including addition of new payers, auto increases, renewals and termination.
· Accountable for accurately reporting key contract data elements to AdventHealth Florida Division leadership and ancillary facilities.
· Responsible for ensuring that the contract image database is maintained with current information that accurately represents contract activities. This includes providing all correspondence and contract language, including rate updates, to the Information Systems Coordinator for scanning with appropriate filing form for the purpose of reporting accurate information to hospital and ancillary department leadership.
· Provides the necessary feedback regarding system failures or inefficiencies so that the operational function of contracts and labor performance is not compromised.
Qualifications
T he expertise and experiences you’ll need to succeed:
· High School Grad or Equiv Required
· 4 of experience in managed care, patient financial services or healthcare payer relations background Required
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Legal
Organization: AdventHealth Tampa
Schedule: Full-time
Shift: 1 - Day
Req ID: 25007551
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
