Terms & Conditions Coordinator - RemoteTenet Healthcare • Frisco, Texas, United States
Terms & Conditions Coordinator - Remote
Tenet Healthcare
- Frisco, Texas, United States
- Frisco, Texas, United States
Über
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.
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.
Knowledge or experience in reviewing the Terms and Conditions of managed care contract
Intermediate understanding of hospital billing form requirements (UB-04)
Intermediate understanding of ICD-9 HCPCS/CPT coding and medical terminology
Intermediate Microsoft Office (Word, Excel)
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
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all 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 future required vaccines and screenings.
Education / Experience Include minimum education, technical training, and/or experience preferred to perform 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 perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
Ability to lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision.
Ability to travel
Work Environment
Office Work Environment
Hospital Work Environment
Other
Other duties as assigned
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare.
Compensation and Benefit Information
Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Conifer observed holidays receive time and a half.
Benefits Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Sprachkenntnisse
- English
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