Are you interested in making a difference in patient care? Learn about our unique culture of respect, growth, innovation, the best patient care, and how we give back to the community.
At United Urology Group , our employees are at the heart of our mission and have incredible opportunities to impact our patients' lives with their urologic care.
We foster a culture that thrives on compassion, teamwork, integrity, and diversity, all of which start with our staff!
We deliver a cohesive approach to urologic care that provides patients with access to experienced specialists, a superb team of healthcare professionals, and the most advanced technology for patient treatments and therapies.
We offer competitive salaries and a great work/life balance: enjoy your weekends!
UUG offers outstanding benefits, including tuition reimbursement, health, dental, and vision insurance, corporate discounts, and much more!
United Urology Group is regarded as the leading urology network in the country. Our Affiliates include Chesapeake Urology, Arizona UrologyPhoenix & Scottsdale, Arizona UrologyTucson, Colorado Urology, and Tennessee Urology.
Position Summary
The Contracts Management Specialist plays a critical role in ensuring financial security and maximizing reimbursement by managing all aspects of payer contracts with insurance companies and other healthcare payers, ensuring optimal revenue capture and compliance with regulatory requirements.
Primary Duties & Responsibilities
Analyze and interpret payer contracts, identifying key terms, reimbursement rates, coding requirements, and prior authorization processes.
Negotiate favorable contract terms for the company, ensuring maximum reimbursement and alignment with industry standards.
Collaborate with RCM team members (e.g., coders, billers) to identify potential contractual issues that could impact revenue collection.
Work closely with the legal department to ensure all contracts comply with company policies and healthcare regulations (e.g., HIPAA, Medicare).
Develop and maintain a comprehensive contract tracking system to monitor deadlines, expirations, and key performance indicators (KPIs) related to payer contracts.
Manage the contract approval process, securing all necessary signatures from internal and external parties.
Maintain a detailed contract repository for easy retrieval and reference by RCM team members.
Stay current on changes in payer policies and regulations, proactively updating contracts and processes as needed.
Provide ongoing support and education to RCM staff regarding contractual requirements and best practices for maximizing reimbursement.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.
Qualifications
Qualifications:
Minimum High School Diploma or GED is required; a bachelor’s degree in healthcare administration, finance, or a related field is preferred.
Minimum of two to three (2-3) years of experience in healthcare contracts management, preferably within the urology industry.
In-depth knowledge of healthcare payer contracts, coding requirements, and reimbursement methodologies.
Strong understanding of revenue cycle management processes and best practices.
Knowledge, Competencies & Skills
Excellent analytical and problem-solving skills with the ability to identify and address contractual issues impacting revenue.
Meticulous attention to detail and a commitment to accuracy.
Superior written and verbal communication skills with the ability to draft clear, concise, and legally sound contract amendments.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and contract management software (a plus).
Ability to work independently and manage multiple projects simultaneously while meeting deadlines.
Strong organizational skills and a keen eye for detail. Ability to type a minimum of 40 words per minute.
Knowledge of urological procedures and coding systems (e.g., CPT, HCPCS).
Strong time management and organizational abilities.
Ability to prioritize tasks effectively and work independently with minimal supervision.
Proactive and results-oriented with a strong work ethic.
Tech Requirements For The Job
High-speed, reliable internet connection to ensure uninterrupted communication and access to necessary systems and tools.
Quiet and private work environment to maintain the confidentiality of patient information and minimize background noise during calls.
Proficiency in using remote collaboration tools, such as video conferencing software, instant messaging platforms, and customer relationship management systems.
Compliance with all security and privacy policies and protocols, including safeguarding patient information and maintaining HIPAA compliance.
Direct Reports
N/A.
Travel
This position doesn’t require travel.
Physical Requirements For The Job
Regularly required to sit and stand for extended periods.
Involves standing, sitting, walking, bending, stooping, and twisting.
Requires full range of body motion, including manual and finger dexterity and eye-hand coordination.
Frequently lift or move up to 10 pounds and occasionally lift or move up to 25 pounds.
Equal Opportunity Employer: United Urology Group and its affiliate practices are an equal opportunity employer. We do not discriminate based on race, color, religion, age, sex, national origin, disability, veteran status, or sexual orientation.
The successful candidate(s) for any UUG position will be subject to a pre-employment background check.
Actual compensation offered to candidates is based on work experience, education, and skill level.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Legal
Industries
Hospitals and Health Care
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