Payment Compliance and Contracts Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Tennova Healthcare- North Knoxville Medical Center ยท 1 week ago

Payment Compliance and Contracts Specialist

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
date3+ years exp

Tennova Healthcare - North Knoxville Medical Center is seeking a Payment Compliance & Contract Management (PCCM) Specialist who will serve as a subject matter expert and team lead. This role is responsible for maximizing reimbursement through the identification of revenue opportunities and resolution of contractual variances, overseeing quality assurance, and collaborating with stakeholders to improve revenue cycle processes.

Responsibilities

Conducts quality monitoring to ensure team performance meets departmental metrics, and provides actionable recommendations to senior leadership when KPIs are not achieved
Trains and mentors staff to ensure team efficiency and compliance with departmental standards
Manages, maintains, and directs key technologies administered by the department to support payment compliance and contract management activities
Analyzes workload demands through data analysis, assigning tasks to team members based on priorities and department needs
Identifies opportunities for process improvement and collaborates with external organizations to enhance payment integrity and optimize contract modeling
Performs other duties as assigned
Maintains regular and reliable attendance
Complies with all policies and standards

Qualification

Healthcare reimbursement systemsPayer contracts analysisData analysis toolsLeadership abilitiesTeam collaborationCommunication skillsManaging multiple prioritiesAttention to detailPresentation skills

Required

Bachelor's Degree or equivalent work experience on a year-for-year basis required
3-5 years of experience in healthcare reimbursement, contract management, or revenue cycle operations required
Demonstrated expertise in analyzing and interpreting payer contracts and reimbursement methodologies required
Strong analytical and data interpretation skills
Advanced understanding of healthcare reimbursement systems and payer contracts
Excellent leadership and team collaboration abilities
Effective communication and presentation skills
Proficiency in data analysis tools and healthcare billing software
High attention to detail and ability to manage multiple priorities

Company

Tennova Healthcare- North Knoxville Medical Center

twitter
company-logo
North Knoxville Medical Center is an acute care hospital.
location
Powell, Tennessee, US
people-size501-1000 employees
web-link
https://www.tennovanorthknoxville.com/

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Bill Rich
Chief Executive Officer
linkedin
Company data provided by crunchbase