Physician Contract Administration Manager

Maitland, Florida, Description AdventHealth Corporate All the benefits and perks you need for you and your family: ·     Benefits from Day One ·     Paid Days Off from Day One ·     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 :  Monday – Friday Location:  The role you’ll contribute:   This position is responsible for physician contract review and interpretation; as well as, the building and maintenance of rates and terms into designated contract management systems for Florida and multi-state providers.   Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms and provides appropriate reconciliation of patient accounts and estimates.   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.   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 and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership, Finance/Accounting, physician practices and AH Physician Enterprise in order to ensure compliance and awareness of negotiated contract terms and rates.   Qualifications The expertise and experiences you’ll need to succeed:   KNOWLEDGE AND SKILLS PREFERRED: ·      Certification in Epic Contract Management ·      Patient Accounting knowledge ·      CPT/HCPC coding knowledge   EDUCATION AND EXPERIENCE REQUIRED: ·      Four to five years of experience in managed care, patient financial services or healthcare payer relations background   EDUCATION AND EXPERIENCE PREFERRED: ·      Bachelor’s degree in Business or Healthcare Administration or related field ·      Five to seven years in healthcare, hospital revenue cycle or payer/provider relations   LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: ·            Certification in Epic Contract Management **Preferred Skills include: Strong analytical skills and experience with physician contracting/reimbursement This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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