Provider Contracting Administrator I

Franklin, TN, USAusvia direct

// Job Type

Full Time

// Salary

Not disclosed

// Posted

1 week ago

About the Role

Provider Contracting Administrator I Location: Remote with minimal travel Our MissionAcadia Healthcare’s purpose is to Lead Care With Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation. About the RoleProvider Contracting Administrator I supports the Director of Contracting for National Marketing with organizational procedures related to planning, reviewing, and distributing negotiated contracts and agreements for the national marketing team. They handle administrative tasks, as well as respond to internal and external correspondences to ensure the organization of admissions based on the completion of contracts. They must follow strict privacy policies in their duties, as they handle confidential materials on a regular basis. This role will assist with monitoring contract milestones and other billing activities to create detailed reports for portfolio records at specified time intervals. This position works as a liaison for both the payor source and the Resource Coordinator to adequately relay pertinent information to all parties involved. Compensation & BenefitsWe value your expertise and dedication—and we invest in your success.<ul style="margin-top: 0in;"><li style="margin-bottom: 0in;">Competitive Base Salary commensurate with experience</li><li style="margin-bottom: 0in;">Comprehensive Medical, Dental, and Vision Insurance</li><li style="margin-bottom: 0in;">401(k) Plan with Company Match</li><li style="margin-bottom: 0in;">Paid Time Off (PTO) and recognized holidays</li><li style="margin-bottom: 0in;">Company-paid Basic Life and AD&D Insurance</li><li style="margin-bottom: 0in;">Employee Assistance Program (EAP) and mental wellness resources</li><li style="margin-bottom: 0in;">Opportunities for professional growth and advancement within Acadia’s nationwide network</li></ul> Essential Functions<ul><li style="margin-bottom: 0in;">Distributes authorized contracts between the facility and payor source related to the placement of patients</li><li style="margin-bottom: 0in;">Works with Referral Sources contracting counter parts to ensure swift execution of contracts</li><li style="margin-bottom: 0in;">Provides accurate, timely and updated rate information for the maintenance of the departments rate sheet</li><li style="margin-bottom: 0in;">Enters rates and discharges into the departments tracking system</li><li style="margin-bottom: 0in;">Facilitates and executes enrollments for treatment facilities into targeted payor networks in order to effectively contract with new and existing states</li><li style="margin-bottom: 0in;">Manages portal enrollments for assigned states portfolios</li><li style="margin-bottom: 0in;">Organizes individual state portfolio AR concerns from placements made by the National Marketing team and works with team to assist in resolving these issues</li><li style="margin-bottom: 0in;">Supports facilities with portals for online claims processing</li><li style="margin-bottom: 0in;">Communicates directly with payors regarding rates, billing procedures, and processes</li><li style="margin-bottom: 0in;">Tracks facilities out of state contracts to ensure contracts are updated for new services and rate increases</li><li style="margin-bottom: 0in;">Communicates with Resource Coordinators to determine appropriate timeframes for admissions based on the completion of contracts</li><li style="margin-bottom: 0in;">Contributes updated information to assist in the updating of the Payor Billing Guide to ensure clear and concise billing instructions and support proper billing by the treatment facilities. </li><li style="margin-bottom: 0in;">Work as a team member with other staff, to ensure smooth operation between systems and applications.</li><li style="margin-bottom: 0in;">Maintain confidentiality with regard to the information being processed, stored, or accessed</li><li style="margin-bottom: 0in;">Provide ongoing assistance to facility business offices when needed</li><li style="margin-bottom: 0in;">Responsible for requesting and maintaining the facilities credentialing documents ensuring that the most updated documents are filed for ease of contracting</li><li style="margin-bottom: 0in;">Develops and updates facility portfolio reports, interacting with all management levels at assigned facilities</li><li style="margin-bottom: 0in;">Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality</li><li style="margin-bottom: 0in;">Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team</li><li style="margin-bottom: 0in;">Develops constructive and cooperative working relationships with others and maintains them over time</li><li style="margin-bottom: 0in;">Encourages and builds mutual trust, respect and cooperation among team members.</li><li style="margin-bottom: 0in;">Maintains regular and predictable attendance</li><li style="margin-bottom: 0in;">Ability to exercise sound judgement in responding to inquiries; understands when to route inquiries to the next level</li><li style="margin-bottom: 0in;">Perform other duties as assigned</li></ul> Education/Experience/Skill Requirements<ul><li style="margin-bottom: 0in;">Bachelor’s degree preferred</li><li style="margin-bottom: 0in;">Minimum of one (1) year of experience in contracting and/or provider relations with two (2) or more years of experience preferred</li><li style="margin-bottom: 0in;">Strong customer service background is REQUIRED</li><li style="margin-bottom: 0in;">Healthcare or Case Management background in behavioral or mental health field is preferred</li><li style="margin-bottom: 0in;">Demonstrates the ability to function independently and possess strong decision-making skills</li><li style="margin-bottom: 0in;">Knowledge of regulatory standards and compliance requirements as it relates to billing and contractual procedures</li><li style="margin-bottom: 0in;">Basic computer skills including Microsoft Office; especially Word, Excel, PowerPoint and Outlook</li><li style="margin-bottom: 0in;">Knowledge of Adobe Acrobat Pro and its functions</li><li style="margin-bottom: 0in;">Knowledge of office administration procedures with the ability to operate most standard office equipment</li><li style="margin-bottom: 0in;">Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality</li><li style="margin-bottom: 0in;">Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external</li><li style="margin-bottom: 0in;">Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level</li><li style="margin-bottom: 0in;">Self-motivated with strong organizational skills and superior attention to detail.</li><li style="margin-bottom: 0in;">Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes</li><li style="margin-bottom: 0in;">Capable of working within established policies, procedures and practices prescribed by the organization</li><li style="margin-bottom: 0in;">English sufficient to provide and receive instructions/directions</li></ul> While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. AHCORP#LI-JS1

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