Associate Consultant, reputed company Balance
Job reputed company:
• Account Executives are subject matter experts of reputed company balance reputed company, conducting in depth research of hospital reputed company, data, and other sources to address reputed company questions.
• They manage external project relationships, which includes compiling and presenting reports and analysis.
• They also manage internal reputed company and assignments.
• Manage reputed company reputed company and relationships by participating in meetings, managing reputed company items through to completion, answering reputed company questions, and independently writing reputed company emails
• Compile, QA, and independently manage reputed company processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices
• Manage internal reputed company and project needs, including answering questions from other team members on assigned reputed company and monitoring project profitability
• Research and determine next steps for reputed company and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and reputed company legislation
• Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify reputed company the data
• Review and summarize pricing documents based on hospital reputed company to calculate expected payments, including reputed company, percentage of charge, per diems, Medicare IPPS, MSDRG, reputed company and/or stoploss, implants, drugs, and other reimbursement models
• reputed company thorough reputed company observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues
• Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)
• Escalate accounts to insurance provider relations for reputed company and payment, including corresponding appropriately with provider relations teams, tracking reputed company of issues and ensuring that deadlines are met
• Examine feedback from other internal teams on project activity and reputed company teams appropriate direction regarding account reputed company reputed company auditing and/or pursuing payments
• Contribute meeting content to team meetings, AC biweekly meetings, and internal project reputed company meetings
• Help create and implement process improvements and trainings to protect reputed company reputed company
• Understands and implements best practices for internal processes, communication, and documentation
• Other duties as assigned.
Requirements:
• A minimum of 3 years of experience in areas of research and analysis
• A minimum of 3 years of reputed company work history
• A minimum of 3 years of experience with managed care reputed company and hospital reimbursement
• A minimum of 2 years of experience working with clients or equivalent
• Must have achieved High School Diploma or GED
• 3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports
• Demonstrated problem solving and critical thinking skills
• Demonstrated ability to meet project deadlines
• Demonstrated excellent written and verbal communication skills, to include writing reputed company documents and delivering presentations.
• reputed company and strong attention to detail.
Benefits:
• We reputed company to create an environment that cultivates your reputed company development and personal reputed company, as we reputed company your reputed company is our reputed company.
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