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Bellflower

    Sr Coordinator Terms and Conditions - Bellflower, United States - Prospect Medical Holdings, Inc.

    Prospect Medical Holdings, Inc.
    Prospect Medical Holdings, Inc. Bellflower, United States

    4 weeks ago

    Default job background
    OTHER
    Description
    The Terms and Conditions (T & C) coordinator is responsible for validating pre-load and post-load of contracts as well as submitting updates to contracts as necessary; reviewing multiple daily reports to determine adjustment corrections as needed; communicating with vendors to ensure the accurate net down of all accounts; and maintaining contract matrices for each facility. The T & C Coordinator is also responsible for identifying and communicating variance issues relating to payer or internal behavior as it relates to multiple facility revenue cycle and inventory management.Los Angeles Community Hospital at Bellflower is a behavioral health hospital that provides screening, admitting, inpatient treatment and follow-up care services. Our 32-bed inpatient behavioral health facility focuses on providing care for adults who voluntarily seek services for mental health conditions, such as depression or substance abuse.
    • Minimum of 1 year terms and conditions experience

    • Understanding of Payer Contracts and contract language

    • Excellent written and verbal communication skills in English

    • Ability to multitask and maintain a work pace appropriate to workload

    • Computer literacy and proficiency

    • Must demonstrate customer service skills appropriate to the job

    • Previous Healthcare Experience

    • High School Diploma or GED
    • Validates Pre-Load and Post-Load of contracts and submits updates to contracts as necessary. Maintains Contract matrices for each facility on a monthly basis and sends contract updates to outside vendors in a timely manner.
    • Identifies variance issues relating to payer or internal behavior as it relates to multiple facility revenue cycle and inventory management. Escalates issues to supervisor in a timely manner. Prioritizes tasks and conducts the appropriate follow through. Responds effectively to questions regarding account net down.
    • Reviews multiple daily reports to determine adjustment corrections and appropriately requests necessary adjustments. Reviews special project (ad hoc) reports as assigned.
    • Communicates with vendors, as needed, to ensure the accurate net down of all accounts. Obtains information, as needed, from appropriate internal sources.
    • Validates Pre-Load and Post-Load of contracts and submits updates to contracts as necessary. Maintains Contract matrices for each facility on a monthly basis and sends contract updates to outside vendors in a timely manner.
    • Identifies variance issues relating to payer or internal behavior as it relates to multiple facility revenue cycle and inventory management. Escalates issues to supervisor in a timely manner. Prioritizes tasks and conducts the appropriate follow through. Responds effectively to questions regarding account net down.
    • Reviews multiple daily reports to determine adjustment corrections and appropriately requests necessary adjustments. Reviews special project (ad hoc) reports as assigned.
    • Communicates with vendors, as needed, to ensure the accurate net down of all accounts. Obtains information, as needed, from appropriate internal sources.
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