Under the general supervision of the System Payer Contracting Manager and Director Payer Contracting, the Specialist will work to achieve the objectives of the department including managed care contracting, financial analysis, accessing payer performance, ensuring compliance with contracts, process improvement, project management, and staff education for specific lines and supporting departments (revenue centers) throughout the organization and its affiliates. These responsibilities will be for all hospital, ancillary and professional providers in the Health System. The Specialist will serve as a point of contact for external insurance plan representatives in settling escalated claim and account disputes. Key responsibilities include interacting with Revenue Cycle, Administration, Department Leadership, Physician Network and Financial Stakeholders, supporting and understanding clinical and billing processes, identifying and improving processes to allow capturing of all potential revenue from the negotiated contracts. The Specialist will be provided education and communication to financial staff regarding processes, auditing and reporting outcomes of contracts, and utilizing all internal and external resources in order to accomplish and sustain cash improvements. The Contract Specialist will support the Contract Manager in maintaining all Managed Care databases included but not limited to, contract inventory and physician rosters for the System. The Specialist is expected to independently lead projects and produce measurable sustained outcomes. Using national best practices, this position proactively implements and supports system Managed Care/Payer Contracting improvements.

Education required: Bachelor’s in Business Administration, Health Administration, Accounting, Finance, or Business field

Experience: Comparable combinations of education and/or experience will be considered. At least 3 years’ experience working with insurance, managed care contracting, patient accounting, case management, internal audit, coding and/or process improvement. Combination of work and educational record that demonstrates knowledge of:

• Clinical and financial processes within a hospital based healthcare system
• Bridging clinical and patient financial data to improve outcomes
• Clear effective communication skills
• Working knowledge of medical terminology, coding, and healthcare billing guidelines
• Auditing, project management, and process improvement techniques

Additional skills/abilities: Word, Excel, PowerPoint, Access, and working within a networked IT system

Highlights of our hospitals

Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if  you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program. 
Ask us about incentives and additional opportunities.

Huntsville Hospital Benefits:

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!

 Learn more about Huntsville Hospital Health System:

• Careers: https://careers.hhsys.org/careers-home
• Benefits: https://careers.hhsys.org/us/en/benefits
• Education & Professional Development: https://www.huntsvillehospital.org/education
• Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al