Facility: VIRTUAL-GA

Job Summary:

The Contract Varaince Coordinator is an experienced Contract Variance Analyst who assist the Manager of Contract Variance in projects, reports, and education as assigned by leadership. Contract Variance Coodinator assists other staff when issues arise, provides on the job education to staff when needed, and works with IT to troubleshoot issues and provide feedback for system improvement. The goal of the coodinator is to facilitate the timely response of closed-balance accounts to ensure WellStar Health systems receive correct reimbursement per the terms of contractual lanaguage.

Core Responsibilities and Essential Functions:

Job Functions
- Perform daily, systematic reviews of $0 balance accounts for the appropriate contractual reimbursement.
- Educate staff as needed or directed by manager.
- Post adjustments at time of account review.
- Provide assistance on department projects as assigned.
- Create, review, and assit in department reporting as assigned by manager.
- Contact identified payor sources to resolve problems or issues with payment release.
- Transmit required documentation to Third Party Payors for resolving payments.
- Ensure all payor contact is fully documented in the appropriate software application.
- Monitor payments for accuracy, contacting payors to resolve outstanding amounts and reporting ongoing problem and issues with the department Manager.
- Utilize industry and regulatory guidelines for collection of outstanding accounts.
- Consistently utilize and accurately interpret various contracts.
- Consistently identify and pursue collection of the money due on short-paid accounts.
- Refer overpaid accounts to the Credit and Refund Specialists for review.
- Consistently meet the current productivity standards in ensuring payments are made properly and in full per contractual agreements.
- Consistently meet the current quality standards in ensuring payments are made properly and accurately.
- Meet productivity standards, targets, error ratios and reporting requirements as assigned by the department Manager or Supervisor. Professional Communication
- Maintain confidentiality in matters relating to patient/family.
- Maintain professional relationships and convey relevant information to other members of the healthcare team within Revenue Cycle and any applicable referral agencies.
- Initiate communication with peers about changes and procedures.
- Relay information appropriately over telephone, email, and other communication devices.
- Interact with internal customers including HIM, Revenue Integrity, Patient Access, and the SBO in a professional manner to achieve revenue cycle department AR goals and objectives.

- Teamwork
- Assist with special projects as assigned.
- Work closely with other staff, co-workers, peers, and other members of the healthcare team to ensure a positive and effective work environment.
- Report to appropriate personnel regarding assignments, projects, etc.
- Initiate problem solving and conflict resolution skills to foster effective work relationships with peers.
- Report to work on time and as scheduled. Professional Development
- Attend staff meetings, in-services, and continuing education.
- Assist in the development of indicators, thresholds, study methods, and data collection as assigned.
- Respond to problems/opportunities to improve care/customer service.
- Support involvement in system performance improvement initiatives.
- Participate in and maintain competencies required for the position and specific unit/area(s) of assignment.

Required Minimum Education:

2 years college Required or
5 years of commensurate experience Required and
Bachelor's Degree Preferred

Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):



Required Minimum Experience:

Minimum 2 years Hospital Collections
Required

Required Minimum Skills:

Ability to perform mathematical calculations.
Identify where to locate and review state and federal regulations as they relate to all payers.
Demonstrate proficiency in locating and interpreting contract verbiage for timely claims resolution.
Demonstrate proficiency in contract management and expected reimbursement technology.
Researching Major Payors Billing requirements for maximum reimbursement and billing compliance.
Advanced experience and knowledge of PC applications.
Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices.
Detail-oriented, good organizational skills, and ability to be self-directed.
Ability to learn quickly and meet continuous timelines.
Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
Demonstrated flexibility to perform other tasks as needed in an active work environment with changing work needs.
High-level problem solving, analytical, and investigational skills.
Excellent internal/external customer service skills.
Excellent communication skills to include oral and written comprehension and expression.
Ability and willingness to exhibit behaviors consistent with principles of excellent service.
Ability and willingness to demonstrate and maintain competency as required for job title and the unit/area(s) of assignment.
Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency & financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect).