What are the responsibilities and job description for the Contracts Manager position at ABHS?
Position Title:
CONTRACTS MANAGER
Reports to:
COO
Department:
CREDENTIALING
Date:
3/19/2024
Category:
EXEMPT / SALARY
Revised:
General Description
The Contracts Manager is responsible for overseeing all aspects of the Facility Contracting and Provider Enrollment processes, managing staff and delegating assignments to ensure accuracy, timeliness, and efficiency.
Tasks & Responsibilities
A. Essential Duties
- Collect the necessary application information to initiate Group and Facility contracting for multiple health plan networks.
- Communicate with payors to ensure receipt of application and needs to complete enrollment.
- Negotiate with health plan networks to establish reimbursement rates as needed.
- Ensure the timeliness of recredentialing for all contracts.
- Communicate with payors regarding changes in Group and Facility information.
- Oversee the Provider Enrollment department
- Evaluate the production of the department and individual employees including meeting 1:1 with employees.
- Promote and maintain a positive work environment.
- Conduct team meetings weekly to review performance metrics and departmental updates.
- Communicates with Revenue Cycle Director regarding contract and provider enrollment completion and updates.
- Contribute to the departmental and company policies and procedures with a collaborative approach.
- Comply with all legal and regulatory policies and procedures.
B. Additional Duties
- Assists and covers other staff when necessary to maintain high productivity and efficiency in the department.
- As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly.
C. Interpersonal Relations
- Create Meaningful Connections: Demonstrates ability to function effectively as a part of team. Uses outstanding oral and written communication with employees at all levels of the business for support and sharing of information.
- Take Accountability: Take constructive feedback and prevent discourse among our peers.
- Live in the Solution: Critically thinking should be the solution when problems arise. Having the ability to accepts constructive criticism well in an open and non-defensive manner.
- Be Professional: Wear business casual attire (please see dress code policy).
Competencies
- Adaptability
- Customer Service
- Decision Making
- Dependability
- Ethics
- Interpersonal Skills
- Job Knowledge
- Conflict Management
- Organization Skills
- Productivity
- Self Development
- Teamwork
Position Based Training
- HIPAA / HITECH Security Awareness
- Integrity in the Workplace
- Boost Your Cultural Intelligence
- Harassment Prevention for US Employees
- Workplace Security
- Fire Safety
- Customer Service - Proper Etiquette
- Effective Email Writing & Office Communication Tips
- Cyber Security Awareness
- Credit Card Processing
- Diversity, Equality & Inclusion - Celebrating Difference
- Ethics & Code of Conduct for Supervisors
- Best Practice Customer Service Over The Telephone
- Mistakes Leaders Make: Six Wrong Ways to Manage
Performance Standards & Measurement
- Compliance with essential and incidental duties; compliance with company policies and procedures.
- Compliance with state and federal laws and regulations applicable to the business.
Equipment, Tools & Machines
- Use of computer, telephone, and other office equipment such as a printer and fax.
- Use of company network and email domain.
Working Conditions
- Air conditioned and well-illuminated office environment and outdoor environment.
- May have several responsibilities at once. Interaction with other is constant and can be interruptive.
- Work may be stressful at times due to high level workflow.
- Availability to work flexible hours including weekends, holidays, and evenings as is required to comply with the purpose of the job and accommodate client needs.
- Participates in educational training, orientations, or compliance programs as needed to maintain competency.
- If you must leave your employment with our company, we request employee’s to give us at least 30 days resignation notice in writing.
Demands
Enthusiastic self-starter operating with sustained energy and showing great initiative.- Comfort working with a diverse base of support, including members, employers, providers, colleagues, community leaders, volunteers, non-profit organizations, vendors, etc.
- Excellent interpersonal and communication skills, including ability to read, write, spell in English legibly and without excessive grammatical or communication errors.
- Talk and hear both by person and by telephone; ability to speak clearly and effectively using proper grammar before patients, employees and business partners, among others.
- Excellent organizational skills.
- Accepts constructive criticism well in an open and non-defensive manner.
- Ability to manage conflicting priorities. Ability to maintain a positive work ethic and a congenial attitude in the face of a high-pressure environment.
- Ability to function independently and with flexibility.
- Ability to work under pressure, handle multiple tasks and interruptions.
- Occasional lifting of moderately heavy office supplies; ability to lift supplies for community events, trade shows, conferences, and other marketing opportunities applicable to the organization; ability to lift, push or pull up to 25lbs.
- Ability to sit, stand, or walk for extended periods of time.
- Must have strong computer skills to meet Microsoft Office and Electronic Health Record software requirements.
Qualifications
Education:
- High School Diploma required
Licenses or certifications:
- Credentialing certification is a plus but not required
Experience:
- Minimum of 2 years of experience in a credentialing role in the medical field. Behavioral health industry is preferred.
- Computer literate: Microsoft Office (Excel, Word, and PowerPoint) required.
