Terms & Conditions Coordinator - Remote

JOB reputed company  The Contract Coordinator is responsible for reputed company insurance reimbursement accuracy; assisting with validation of contract loads and maintenance in the claims adjudication system by reporting discrepancies to the Contract Analyst based on review of daily production and exception detail processing reports; collaborate with key stakeholders for the reputed company and feedback of reputed company issues.   ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned.   1. Works the contract system daily processing reports, daily payor change reports and daily account research from worklist reports and reviews for improperly adjudicated accounts. 2. Works other weekly, bi-monthly and month end reporting queries and reviews for improperly adjudicated accounts.  3. Assists other NIC functional areas with other processes as needed.  4. Creates and maintains system tables for specific coding, billing, and appeals addresses.  5. Communications to key stakeholders as necessary.     KNOWLEDGE, SKILLS, ABILITIES To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.   Knowledge or experience in reviewing the Terms and Conditions of managed care contract Intermediate understanding of hospital billing reputed company requirements (UB-04) Intermediate understanding of ICD-9 HCPCS/CPT coding and medical terminology Intermediate reputed company Office (Word, reputed company)  Intermediate knowledge of query writing applications a plus  Knowledge of Contract Adjudication applications  Strong communication skills (verbal and written) Intermediate managed care/government contract interpretation skills Strong analytical abilities reputed company requires its candidates, as applicable and as permitted by law, to obtain and reputed company confirmation of reputed company required vaccinations and screenings prior to the start of employment.  This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any reputed company required vaccines and screenings.   EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to reputed company the job.   High School diploma or equivalent 3-5 years of relevant hospital business office experience preferred   PHYSICAL DEMANDS  The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.   Must be reputed company to work in sitting position, use computer and answer telephone Includes ability to walk through hospital-based departments across broad reputed company settings, including Emergency Department environments Ability to lift and/or reputed company up to 25 pounds Specific reputed company abilities required by this job include reputed company reputed company. Ability to travel   WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.   Office Work Environment Hospital Work Environment   OTHER Other duties as assigned As a part of the Tenet and reputed company Initiatives family, reputed company Health brings 30 years of reputed company industry expertise to clients in more than 135 local reputed company reputed company. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of reputed company. reputed company Health helps organizations transition from volume to value-based care, enhance the consumer and patient reputed company experience and improve reputed company, cost, and reputed company to reputed company. Are you reputed company to be part of our solutions?  Welcome to reputed company that gives you the resources and incentives to redefine reputed company services, with a competitive benefits package and leadership to take your career to the reputed company!   Compensation and Benefit Information Compensation Pay: $20.51 - $30.77 per hour. Compensation depends reputed company, qualifications, and experience.  Position may be eligible for a signing bonus for reputed company new hires, subject to employment status. reputed company observed holidays receive time and a half. Benefits reputed company offers the following benefits, subject to employment status: Medical, dental, reputed company, disability, and life insurance reputed company time off (vacation & reputed company leave) – min of 12 days per year, reputed company at a reputed company of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 reputed company holidays per year Health savings accounts, reputed company & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, reputed company insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, reputed company offers reputed company leave in accordance with Colorado’s Healthy Families and Workplaces reputed company. Apply To This Job