Benefits
- Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
- Future Security: 401(k) with matching
- Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
- Educational Tuition Assistance
- Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.
Job Summary
The Payment Compliance & Contract Management (PCCM) Collector is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements.
Essential Functions
- Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution.
- Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms.
- Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies.
- Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements.
- Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance.
- Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management.
- Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections.
- Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
Qualifications
- H.S. Diploma or GED required
- Associate Degree or higher preferred
- 1-2 years of experience in healthcare collections, revenue cycle, or contract management required
- Familiarity with payer contracts and healthcare reimbursement methodologies preferred
Knowledge, Skills and Abilities
- Strong analytical and problem-solving skills.
- Proficient in understanding and interpreting payer contracts and reimbursement terms.
- Effective communication and negotiation skills.
- Ability to work independently and manage multiple priorities in a fast-paced environment.
- Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel.
- Attention to detail and high degree of accuracy in reconciliation and analysis.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Skills Required
- High school diploma or GED
- Associate degree or higher
- 1-2 years of experience in healthcare collections, revenue cycle, or contract management
- Familiarity with payer contracts and healthcare reimbursement methodologies
- Strong analytical and problem-solving skills
- Understanding and interpretation of payer contracts and reimbursement terms
- Effective communication and negotiation skills
- Ability to work independently and manage multiple priorities
- Proficiency with healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel
- Attention to detail and accuracy in reconciliation and analysis
Community Health Systems Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Community Health Systems and has not been reviewed or approved by Community Health Systems.
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Healthcare Strength — Stated offerings include medical, dental, vision, and prescription coverage, alongside life and disability insurance. Coverage breadth is presented as a core part of the package across affiliated hospitals.
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Leave & Time Off Breadth — Paid time off for vacation, holidays, and illness is part of the package. Time-away benefits are included as a standard element across roles and facilities, subject to local terms.
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Wellbeing & Lifestyle Benefits — Tuition assistance, student-loan support, and license or certification reimbursement are emphasized, particularly for clinical roles. These programs can reduce education costs and support ongoing professional development.
Community Health Systems Insights
What We Do
Community Health Systems, Inc. is one of the nation’s leading operators of general acute care hospitals. The organization’s affiliates own, operate or lease more than 80 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings.
