Sr. Provider Pay Specialist

Finance Cincinnati, Ohio


Description

SUMMARY  

The Sr. Provider Pay Specialist is responsible for assigned duties related to on-boarding, customer service, and the timely and accurate collection, preparation, documentation, and processing of provider pay for our professionals.     

ESSENTIAL DUTIES AND RESPONSIBILITIES 

  • Review and apply judgement interpreting facility/provider contracts to ensure correct pay and bill set up. Communicate with sales team / recruiting if needed.
  • Ensure, via audits and training, the proper recording of provider pay accounting, transactions, reporting, stop payments and other operations.
  • Ensure that provider pay is processed accurately and timely including but not limited to
    • Weekly collection, input of timesheets/time reports, as required, in VMS/MSP portals,
    • Input and processing of timesheets
    • Understand and review rules engine output based on hours entered.
    • Process deduction changes, bonuses, PTO payouts, and benefits.
    • Calculate and ensure payment of authorized reimbursement requests from recruiters and HCPs.
    • Review and process, as appropriate, supplemental pay.
    • Ensure, via audits and training, the accurate calculation and recording of retroactive pay/deduction adjustments as needed.
    • Application of guaranteed hours by understanding assignment specific rules, gathering reasons for hours shortages
  • Assist in provider pay and timesheet audit activities.
    • Contacting HCPs when time is not received or if clarity is needed.
    • Ensure timesheets are sent to MSP/VMS as appropriate
    • Calculate bonus eligibility
    • Ensuring proper application of Per Diem proration.
    • Review provider pay reports and timesheets for correctness before provider pay transactions.
    • Work with Billing Team to resolve disputed hours.
  • Conduct HCP On-boarding processes including but not limited to:
    • Ensure collection of appropriate forms for employment such as W-4, Proof of Permanent Tax home, and Direct Deposit information.
    • Keep provider pay system (e.g., Archer hierarchies, HCP info in ADP, etc.) up-to-date and accurate.
    • Set-up provider pay arrangements for new hires (e.g. ADP data is set up, complete, and accurate).

 

  • Provide outstanding customer service to placements as well as clients.
    • Be available for on-boarding call with each HCP assigned including the maintenance and distribution of Welcome Packets.
    • Ensure timekeeping procedures, Facility instructions, MSP/VMS rules, Exception processes, and approval requirements are documented and known to the HCPs.
    • Act as the first point of contact for HCPs for any pay related inquiries.
    • Respond to provider pay queries from HCPs and front end in a timely manner.
  • Analyze provider pay issues and recommend corrective actions.
  • Maintain provider pay records and timesheet data for future references.
  • Identify process improvement opportunities and suggest standards for new processes.
  • For new accounts, perform the initial processing, validate rules (and fix as needed) and, once validated, transfer account to Provider Pay Specialist.
  • Perform other duties and responsibilities as assigned.

QUALIFICATIONS 

  • Associates degree in business or operations discipline +2-3 years of experience or corresponding work experience
  • Experience with MS Dynamics GP, ADP, Timekeeping (e.g., Kronos) and/or VMS technologies is desired
  • Proficient use of Microsoft Office, including Word, Outlook, and Excel required (advanced Excel preferred)
  • High Attention to detail is a must
  • Strong organization and time management skills, especially the ability to hit weekly deadlines.
  • Ability to adapt to a changing environment
  • Demonstrated excellent customer service skills along with a high level of interpersonal skills with demonstrated poise, tact, and diplomacy; must be able to maintain the integrity of confidential information
  • Excellent communication skills, written and verbal, with the ability to clearly communicate issues to all levels of management
  • Staffing industry experience a plus, but not required

TOP SKILLS & PERSONALITY TRAITS 

  • Ability to follow standard procedures and escalation policies.
  • Highly organized and able to maintain robust documentation of communications.
  • Highly collaborative internally and with external partners to build partnerships to meet shared objectives.
  • Ability to balance multiple priorities at once.
  • Able to handle difficult conversations calmly and professionally.
  • Strong technical skills. Able to retrieve, organize, format, and distribute data using various software platforms.
  • Strong Problem-solving and critical thinking skills.