ABC Home Medical Supply, Inc is one of the nation’s leading urological supply providers and serves as a one-stop shop with a comprehensive line of medical supplies and service that includes: Urological, Incontinence, Wound Care, and Ostomy. ABC Medical is part of the JDS, Inc family of businesses. Our service companies possess the knowledge and expertise to deliver first-class products and personalized home healthcare services.
Location: WFH (US6)
Department:
ABC Medical is one of the nation’s leading urological supply providers, and serves as a one-stop shop with a comprehensive line of medical supplies and service that includes: Urological, Incontinence, Wound Care, and Ostomy. ABC Medical is part of the JDS, Inc family of businesses. Our service companies possess the knowledge and expertise to deliver first-class products and personalized home healthcare services.
Responsibilities:
The Contract Administrator provides oversight, management, coordination, organization, and communication of payor contracting activities for each of the ABC Medical family of companies. The Contract Administrator is responsible for maintaining company payer agreements, addendums, renewal terms, required notifications, and due dates. The position interprets all payer requirements and ensures that those requirements are systematically implemented in company operating processes. The Contract Administrator collaborates with the sales team and internal departments to communicate contracting status and pursue opportunities for contract expansion. The Contract Administrator improves ABC profitability through analysis of payer rules, payer denials, and internal processes.
- Pursue, negotiate, and maintain contracts with all payers, e.g., insurance companies, IPAs, TPAs and government programs.
- Understand insurance policies and regulatory guidelines to implement systematic parameters that ensure compliance with payer-specific rules and requirements.
- Provide payer expertise, analysis, and contract understanding to support operational teams with improvements that reduce billing denials and improve collection.
- Understands and identifies profitability opportunities within assigned payers.
- Facilitate the payer contracting process, in conjunction with Legal and Credentialing teams, to ensure accurate, compliant contract documents from pre-contract through post-contract phases.
- Provide contract summaries and execute contracts in accordance with company policy.
- Support the research of territories to identify gaps in payer base and pursue contract expansion.
- Support monthly reporting to senior management and organizational stakeholders with progress and status of contracted payor agreements.
- Supports the maintenance of a common provider directory/database for enrollment with payers.
- Assist with all contracting administration and projects, as needed.
Minimum Qualifications:
- Associate or bachelor’s degree, or 5 years of relevant healthcare contract experience
- Ability to interact professionally and ethically with team members, all levels of management, government agencies, and insurance payer personnel
- Ability to manage multiple tasks simultaneously in a fast-paced environment
- Ability to provide clear, concise oral and written communications
- Ability to handle special requests in a sensitive, professional manner
- Strong attention to detail and follow through skills
- Meticulous organization and filing skills
Preferred Qualifications:
- Experience working at a medical insurance company, IPA, TPA highly preferred
- Familiarity and experience with DME and/or Medical Supply reimbursement, including Medicare, Medicare Managed, Medicaid, and Medicaid Managed plans.
- Knowledge and use of Brightree software preferred but not required.
- Advanced Microsoft Office experience
- Ability to troubleshoot complex payor events
Our Total Rewards package in aggregate is above market and includes competitive pay, paid time off programs, peer-to-peer recognition, health and life insurance, wellness programs and incentives, generous retirement savings, and a unique Benefit of Employee Share Ownership Program (BESOP).
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The anticipated base salary range for this position is $57,709 - $90,685. The actual salary varies based on applicant's location, education, experience, skills, abilities, and other legitimate business factors.
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The Company also provides a unique Benefit of Employee Share Ownership Program (BESOP) program based on earnings and length of service.
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The Company’s health and welfare benefits include medical, prescription, dental, vision, spending/savings accounts, disability, company paid parental leaves, statutory leaves/disability programs, accident, and life.
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The Company’s 401(k) Retirement Savings Plan includes: auto-enrollment, ROTH, vesting and eligible participants “safe harbor” matching contributions.
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The Company’s paid time off benefits include: 8 paid holidays, paid vacation based on length of service and exempt/non-exempt status, and sick days based on statutory requirements and/or exempt/non-exempt status.
#LI-REMOTE
Job Req ID: 34507
EOE Statement:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Team members shall adhere to high standards of ethical conduct and will comply with and assist the Company in complying with all policies and applicable laws and regulations.
Accommodations Statement:
ABC Medical endeavors to make www.abc-med.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the ABC Medical HR Department at HR@abc-med.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
