Job Details

Provider Contracting Administrator I

We are improving the lives we touch. We need passionate, talented people working together who share our desire to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioral health and addiction disorders. Acadia Healthcare is headquartered in Franklin, TN and is a leading provider of behavioral healthcare services in the nation. Our organization values input from employees and foster collaboration to create a team-oriented service delivery system. This position is 100% remote with up to 25% travel.

Purpose Statement

Provider Contracting Administrator I supports the SVP of Business Development with organizational procedures related to planning, reviewing, and distributing negotiated contracts and agreements for the CBS national marketing team. They handle administrative tasks, as well as respond to internal and external correspondences to ensure the organization of admissions based on the completion of contracts. They must follow strict privacy policies in their duties, as they handle confidential materials on a regular basis. They will assist with monitoring contract milestones and other billing activities to create detailed reports for portfolio records at specified time intervals. This position works as a liaison for both the payor source and the Resource Coordinator to adequately relay pertinent information to all parties involved.

Essential Functions

• Distributes authorized contracts between the facility and payor source related to the placement of patients.
• Works with Referral Sources contracting counterparts to ensure swift execution of contracts.
• Provides accurate, timely and updated rate information for the maintenance of the departments rate sheet.
• Enters rates and discharges into the departments tracking system.
• Facilitates and executes enrollments for treatment facilities into targeted payor networks in order to effectively contract with new and existing states.
• Manages portal enrollments for assigned states portfolios.
• Organizes individual state portfolio AR concerns from placements made by the CBS National Marketing team and works with team to assist in resolving these issues.
• Supports facilities with portals for online claims processing
• Communicates directly with payors regarding rates, billing procedures, and processes
• Tracks facilities out of state contracts to ensure contracts are updated for new services and rate increases.
• Communicates with Resource Coordinators to determine appropriate timeframes for admissions based on the completion of contracts.
• Contributes updated information to assist in the updating of the Payor Billing Guide to ensure clear and concise billing instructions and support proper billing by the treating facilities.
• Work as a team member with other staff, to ensure smooth operation between systems and applications.
• Maintain confidentiality with regard to the information being processed, stored, or accessed.
• Provide ongoing assistance to facility business offices when needed.
• Responsible for requesting and maintaining the facilities credentialing documents ensuring that the most updated documents are filed for ease of contracting
• Develops and updates facility portfolio reports, interacting with all management levels at assigned facilities.

Other Functions

Perform other duties as assigned.

Standard Expectations

Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.

Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.

Develops constructive and cooperative working relationships with others and maintains them over time.

Encourages and builds mutual trust, respect and cooperation among team members.

Maintains regular and predictable attendance.

Ability to exercise sound judgement in responding to inquiries; understands when to route inquiries to the next level.

Education/Experience/Skill Requirements

Bachelor's degree preferred.

Minimum of one years of experience in contracting and/or provider relations. 2+ years of experience preferred.

Strong customer service background is required.

Healthcare or Case Management background in behavioral or mental health field is preferred.

Demonstrates the ability to function independently and possess strong decision-making skills.

Knowledge of regulatory standards and compliance requirements as it relates to billing and contractual procedures.

Basic computer skills including Microsoft Office; especially Word, Excel, PowerPoint and Outlook.

Knowledge of Adobe Acrobat Pro and its functions.

Knowledge of office administration procedures with the ability to operate most standard office equipment.

Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.

Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.

Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.

Self-motivated with strong organizational skills and superior attention to detail.

Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.

Capable of working within established policies, procedures and practices prescribed by the organization.

English sufficient to provide and receive instructions/directions.

Licenses/Designations/Certifications

Not Applicable

Supervisory Requirements

This position is an Individual Contributor