WHO WE ARE: Femwell Group Health was created in 1997 to help physicians run their practices more efficiently and be better equipped to care for their patients. We now support hundreds of physicians in the state of Florida-from Miami to Jacksonville-with services designed to manage and grow their practices. As a leading management services organization, Femwell focuses on operational health, so physicians can focus on their patients' health.
If you are looking to lead as part of an evolving business, Femwell is the right fit for you! To learn more about Femwell, we encourage you to visit our website at https://www.femwell.com/about-us/ or follow us on LinkedIn at Femwell Group Health: My Company | LinkedIn.
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Job Title: Fee Schedule Coordinator
Reports to: Director of Managed Care
Department: Managed Care - Contracting & Service
Job Summary:
Detail-oriented Fee Schedule Coordinator to manage and optimize our contracted payor rates. Work collaboratively with the analytics team and various departments to ensure accurate fee schedule management.
Key Responsibilities:
Contract Interpretation: Understand and interpret contracted rates for each payor to ensure accurate application across all practices.
Collaboration with Analytics: Collaborate closely with the analytics team to obtain and analyze fee
schedules for each payor, ensuring alignment with contractual obligations.
Data Management: Load and maintain each fee schedule in the designated database using standardized naming conventions for easy access and identification.
Provider Specialties Linking: Accurately link all fee schedules to the corresponding provider specialties to facilitate proper billing and reimbursement.
Tax Identification Tracking: Track and maintain overrides related to tax identification numbers to ensure compliance and accuracy in billing.
Immunization and Injectable Fee Updates: Update quarterly immunization and injectable fee schedules for all health plans, ensuring current rates are reflected in our systems.
Insurance Plan Integration: Link new insurance plans and products to all relevant fee schedules and providers to maximize reimbursement opportunities.
Underpayment/Overpayment Management: Generate and analyze claim reports to ensure accurate reimbursement following contract negotiations or the onboarding of new providers.
Inquiries and Support: Research and respond to fee related inquiries promptly, providing clear and accurate information in both oral and written formats.
Special Projects: Participate in special projects related to fee schedules, contributing insights and
analysis to enhance our fee structure.
Documentation Management: Log and maintain all fee schedule documents in an organized manner for the office managers.
Qualifications:
Proficient in Microsoft Excel and PowerPoint.
Exceptional written and verbal communication skills.
Skilled in prioritizing and managing multiple tasks simultaneously.
Highly organized with strong analytical abilities.
Capable of collaborating effectively with team members as well as working independently.
Demonstrated ability to perform well under pressure and meet deadlines.