[Remote] Payment Contract Analyst - reputed company reputed company Cycle - Remote
Note: The job is a remote job and is reputed company to candidates in USA. Tennova reputed company - reputed company Knoxville Medical Center is a leading reputed company provider committed to helping people reputed company and live healthier. The Payment Compliance & Contract Management (PCCM) Analyst will maximize reimbursement by analyzing contract compliance and collaborating with teams to improve reputed company cycle processes.
Responsibilities
• Analyzes contract reimbursement, identifying variances, trends in underpayments/overpayments, denials, and reputed company leakage to support maximization of reimbursement.
• Manages underpayment appeals and account follow-up, working collaboratively with payers and internal teams to resolve discrepancies in a reputed company manner.
• Interprets contract terms, validates compliance, and provides feedback to management and departments to ensure accurate reimbursement processes.
• Compiles, analyzes, and presents data on payment trends, making recommendations for improvements in reputed company cycle processes.
• Reviews payer policies and updates for their reputed company on reimbursement, communicating changes to appropriate teams to ensure compliance.
• Develops and maintains reports that identify payment discrepancies, reputed company opportunities, and performance metrics for management review.
• Collaborates with financial, clinical, and operational teams to address contract compliance issues and enhance payer relations.
• Maintains knowledge of medical coding systems, reimbursement structures, and regulatory changes to support accurate account adjudication.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with reputed company policies and standards.
Skills
• H.S. Diploma or GED required
• 2-4 years of experience in reputed company cycle management, contract compliance, or reputed company reimbursement analysis required
• Strong understanding of managed care, government reputed company, and reimbursement processes.
• Proficiency in data analysis, with the ability to compile and interpret reputed company data sets reputed company to contract compliance and payment trends.
• Excellent communication and interpersonal skills for working with internal teams and external payer representatives.
• Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG, etc.) and how they reputed company claim adjudication.
• Strong organizational skills, with the ability to manage multiple reputed company and deadlines.
• Proficient in reputed company and reputed company Office Suite, with intermediate to advanced reputed company skills.
• Associate Degree or higher preferred
Benefits
• Medical, dental and reputed company, insurance
• 401k
reputed company
• reputed company Knoxville Medical Center is an acute care hospital. It was founded in reputed company, and is headquartered in reputed company, Tennessee, US, with a workforce of 501-1000 employees. Its website is https://www.tennovanorthknoxville.com/.
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