Parallon pioneered the modern-day concept of healthcare shared services more than 12 years ago, perfecting revenue cycle management best practices and customizable technologies for the industry’s largest healthcare provider in 700 facilities and 1000 physician practices. Today, our team of more than 13,000 revenue cycle professionals applies unmatched expertise, scale and proven processes daily to improve financial performance and long-term sustainability at facilities nationwide.
GENERAL SUMMARY OF DUTIES – Translates managed care contract terms and model relevant parameters in Contract Profiler and Calculator Model (CPCM) to ensure accurate discounts on patient accounts and proper reflection of expected net revenue.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
• Coordinate managed care contract implementation activities with the Contract Negotiators, Payor
Representatives and the Functional Managers within PAS
•Liaison with PAS Functional Managers and Managed Care Negotiators and Payors to address managed care contract administration issues
•Maintain and control managed care I-Plans in accordance with corporate standards and PAS procedures
•Model managed care contract payment terms using CPCM (or other approved modeling tools)
•Coordinate with IT&S Reimbursement Product Support for modeling of government or other contracts modeled directly in the Payment Calculator System
•Publish and maintain Automated Quicksheets in the Contrack system for managed care contracts
•Provide educational resources to support contract implementation and administration
•Attend PAS management meetings or facility contract management teams as necessary
•Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
•Other duties as assigned