Job Description

Job Summary 

The Manager, Accounts Receivable Contracts (Remote) oversees a team responsible for coding, testing, and maintaining managed care contracts within the contract management system. This role ensures contract terms align accurately with legal documents and assists with reimbursement system capabilities, working closely with the Reimbursement Administrator. The Manager serves as a liaison with Managed Care and financial managers to support contract modeling and enhance understanding of contract reimbursement calculations. 

Essential Functions

Supervises, trains, and supports the performance of team members to meet departmental and corporate objectives. Manages contract implementation in the contract management system, including coding updates for new service definitions, reimbursement methodologies, and scheduled rate changes. Ensures accurate interpretation and programming of managed care contract language to reflect rate structures and terms as negotiated. Works with internal stakeholders to troubleshoot issues and verify contract calculations, providing guidance on expressions and logic for accurate contract modeling. Monitors updates in coding schemes (e.g., ICD, CPT, DRG) to anticipate impacts on contract terms and reimbursement structures. Analyzes benchmarks and performance metrics, taking appropriate action to maintain operational effectiveness and compliance with standards. Provides insights and recommendations to contract negotiators to ensure clarity and accuracy in contract language and terms. Performs other duties as assigned. Complies with all policies and standards.

Qualifications

Bachelor's Degree in Finance, Business Administration, Healthcare Administration, or a related field required 4-6 years of experience in managed care contract administration, accounts receivable, or related field required 1-3 years of prior leadership experience preferred

Knowledge, Skills and Abilities

Strong understanding of managed care contracting, medical coding, and reimbursement methodologies. Proficiency with relational databases, including SQL or similar query tools. Knowledge of coding systems and their impact on reimbursement (ICD-10, CPT, HCPCS, DRG, etc.). Strong leadership skills, with the ability to motivate and develop team members. Effective analytical and problem-solving skills for contract interpretation and implementation. Excellent communication skills, with the ability to convey complex information clearly to diverse audiences. Proficiency in contract management software and Google Suite.