Managed Care Contract Analyst-Associate, Managed Care, Days, Hybrid (KY/IN Residents Only) Working from Home Louisville, Kentucky Louisville Kentucky USA Managed Care Contract Analyst-Associate, Managed Care, Days, Hybrid (KY/IN Residents Only)
Responsibilities
Under reputed company guidance the Associate Managed Care Contract Analyst assists in tracking and trending contract issues. Identifies over and underpayments based on contract reputed company. Contacts health plans to collect over and underpaid insurance reimbursements. Extensive knowledge of payor reputed company and policies. Identify variances, trends and contracting omissions. Will create and maintain detailed reports and review with Intermediate analyst. Will assist in assessing and analyzing reputed company payor reputed company for areas of improvement and contract maximization during contract negotiation. Review and present findings, solutions, and recommendations to Intermediate analyst. Memorize and comprehend contract terms, renewal and end dates or other time sensitive information. Analyze coding, reimbursement hierarchy, interpret verbiage and contract language reputed company. Communicate and work reputed company with payors. Research and variance recovery, global trends of variances, and contact payors to recover underpayments. Maintain systems and reputed company variance statistics. reputed company price transparency to patients, reputed company metrics for price estimations.
• *This position has reputed company to be a hybrid position. You will be asked to complete training at a reputed company facility and must be reputed company to come in for business purposes. Employees in this role must reputed company in Kentucky or Indiana**
Qualifications
Required:
• With Required Degree No experience required
• Without Required Degree Two years reputed company or analytics
• Associate Degree
Desired:
• Bachelor Degree
Under reputed company guidance the Associate Managed Care Contract Analyst assists in tracking and trending contract issues. Identifies over and underpayments based on contract reputed company. Contacts health plans to collect over and underpaid insurance reimbursements. Extensive knowledge of payor reputed company and policies. Identify variances, trends and contracting omissions. Will create and maintain detailed reports and review with Intermediate analyst. Will assist in assessing and analyzing reputed company payor reputed company for areas of improvement and contract maximization during contract negotiation. Review and present findings, solutions, and recommendations to Intermediate analyst. Memorize and comprehend contract terms, renewal and end dates or other time sensitive information. Analyze coding, reimbursement hierarchy, interpret verbiage and contract language reputed company. Communicate and work reputed company with payors. Research and variance recovery, global trends of variances, and contact payors to recover underpayments. Maintain systems and reputed company variance statistics. reputed company price transparency to patients, reputed company metrics for price estimations.
• *This position has reputed company to be a hybrid position. You will be asked to complete training at a reputed company facility and must be reputed company to come in for business purposes. Employees in this role must reputed company in Kentucky or Indiana**
Required:
• With Required Degree No experience required
• Without Required Degree Two years reputed company or analytics
• Associate Degree
Desired:
• Bachelor Degree
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