Contracts Coordinator - Anaheim, CA
Conifer - Anaheim - CA - Anaheim, CA

This job posting is no longer available on Tenet Healthcare. Find similar jobs: Contract Coordinator jobs - Conifer jobs

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1305004664

Tenet, through its subsidiaries, owns and operates acute care hospitals and numerous related health care services. Our mission is to be recognized for our commitment to our people and partners who provide quality, innovative care to the patients we serve in our communities. It's a spirit you can experience first-hand and it's a philosophy that can enhance your own approach to health care and your career goals.

Description

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At Conifer Health Solutions, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solutions? Welcome to a company that gives you the resources and incentives to redefine healthcare services, with the benefits and leadership to take your career to the next step!

JOB SUMMARY

The Contract Coordinator is responsible for healthcare 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 resolution and feedback of related issues.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

Works the contract system daily processing reports, daily payor change reports and daily account research from worklist reports and reviews for improperly adjudicated accounts.

Works other weekly, bi-monthly and month end reporting queries and reviews for improperly adjudicated accounts.

Assists other NIC functional areas with other processes as needed.

Creates and maintains system tables for specific coding, billing, and appeals addresses.

Communications to key stakeholders as necessary.

Qualifications

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KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Knowledge or experience in reviewing the Terms and Conditions of managed care contract

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Intermediate understanding of hospital billing form requirements (UB-04)

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Intermediate understanding of ICD-9 HCPCS/CPT coding and medical terminology

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Intermediate Microsoft Office (Word, Excel)

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Intermediate knowledge of query writing applications a plus

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Knowledge of Contract Adjudication applications

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Strong communication skills (verbal and written)

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Intermediate managed care/government contract interpretation skills

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Strong analytical abilities

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

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High School diploma or equivalent

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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 perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Must be able to work in sitting position, use computer and answer telephone

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Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

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Ability to lift and/or move up to 25 pounds

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Specific vision abilities required by this job include close vision.

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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 enable individuals with disabilities to perform the essential functions.

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Office Work Environment

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Hospital Work Environment

OTHER

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Other duties as assigned

Job

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Conifer Health Solutions

Primary Location

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CA-Anaheim

Hospital/Facility

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238-Conifer - Anaheim - CA

Job Type*

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Full-time

Shift Type*

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Days

Tenet Healthcare - 18 months ago - save job - block
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