Location: Nashville, TN
Facility: Wellpath East FBOP Admin
Shift: Day 8 hour
Recruiter: Jennifer Bates
Here at Wellpath, everything that we do is about taking care of people – our patients, our staff and our partners. We are committed to making a difference by providing hope and healing to vulnerable patients in challenging clinical environments. Our talented, compassionate team thrives in an autonomous environment, is empowered and supported by education, training and the resources to practice healthcare the way it is meant to be and strives to “Always Do The Right Thing!”
Our Federal Business Services Account Manager is the primary point of contact (POC) for clients and is directly responsible for the management of one or more FBOP contracts in regards to contract compliance and communication, facilitating scheduling, medical records, provider network development, claims management, resulting in strong client relationships.
Manages the Site FBOP Fax/Email box and provides consult requests by specialty type and urgency.
Works directly with Federal Business Services Supervisor to facilitate timely and accurate scheduling and the procurement of medical records in order to insure contract compliance.
Manages the client calendar of upcoming patient appointments and follow-ups received from Account Support personnel .
Tracks, enters, and reviews ER trips and inpatient stays.
Manage on-site services for each site-schedule clinics, obtains patient rosters, and facilitates provider payments.
Assists management and finance with all client reporting including quarterly and annual obligations.
Communicates new YREGs and closes exhausted obligations.
Works with provider relations, claims, and customer service teams to resolve issues and manage service.
Manages off-site IBNR reporting by tracking outstanding claims from unpaid off-site trips.
Distributes client memos (SCA) and follows-up as needed.
Prepares agenda and leads weekly/monthly client call.
Manages schedule and report utilization, enters new patient profiles, and performs other related tasks in the The Company ERM application.
Reconciles outstanding consults and medical records.
Maintains site metrics and standardized reporting packages for client visits and conference calls.
Develops and communicates revenue opportunities, additional services, and process changes.
Communicates all issues which may have an impact on business and forecasted revenue.
Communicates with client about emergent issues, invoicing concerns (including Single Case Agreement (SCA) Memos), and process improvements.
Wellpath is an EOE/Minorities/Females/Vet/Disability Employer