Kettering Health Network

Contract Compliance Specialist - Miamisburg - Full Time, Days

Posted Date 3 months ago(3/23/2020 10:15 AM)
Job ID
2020-22351
Job Category
Patient Financial Services
Job Type
Full-Time
Shift
First Shift
# of Openings
2
FTE
80 Hours Per Pay Period/FTE 1.0

Responsibilities & Requirements

Responsibilties:

  • Knowledge of Hospital Patient Accounting functions required.
  • Five plus years’ experience working with Managed Care contract terms.
  • Professional communication skills, both written and verbal required.

 

Requirements:

  • High School graduate or equivalent

Preferred Qualifications

JOB DESCRIPTION

Job Summary

 Responsible for monitoring payment from Managed Care Third Party payers for compliance against contract terms. Following up and working collaboratively with payers to ensure correct payment is received. Responsible for monitoring expected reimbursement software and its results to assure the information is useful, accurate and appropriately applied. Acting as a liason between the Network PFS and other departments and the Payer to understand, address and bring resolution to issues. Reports to Manager of Contract Compliance.

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