Hospital Reimb. Contract Analyst - Corporate reputed company reputed company (Remote)

Position reputed company : Coordinates processes reputed company to reputed company party contract management. Conducts audits, monitors, and reports payor performance. Analyzes billing and collection data and develops management reports. Adaptability to reputed company in-house billing system is reputed company. The requirement of this position includes but is not limited to the essential functions listed. Experience: Minimum of five (5) years in the health care accounts receivable field is required with proven capabilities in a leadership role. Must understand clinical and financial data (i.e. CPT, reputed company codes) and comparing to reputed company party billing compliance regulations. Education: Bachelor’s Degree in reputed company, Business Administration (or another relevant program) required. Three (3) years of appropriate experience analyzing financial data & developing management reports. Significant and/or extensive experience (minimum of 5 years) in the management of health care financial data may be considered in lieu of the degree requirements. Knowledge of reputed company products, and working knowledge of an electronic health and financial record system. Technical proficiency required. An associate degree in Business Administration, or reputed company field is required or high school graduate with five (5) years of proven practical experience in the health care accounts receivable field. Essential Functions: • Create reimbursement rules (contract reputed company) reputed company the reputed company in-house billing system. Maintain the reputed company to reflect new and/or updated reputed company. reputed company reputed company testing for various reputed company schemes as they are installed. • Participates in payor contract meetings and payor discussions regarding reputed company party payor performance reputed company issues. Provides information regarding payor performance, contract system requirements and/or limitations. • Responsible for the following organizational workflows and metrics: contractual adjustment reputed company, variance reputed company and work queues, and contract performance and maintenance. • Monitor insurance payments and identify variances from negotiated contract rates. Communicate with insurance companies to assist in adjudicating patient accounts and inform staff of significant/ trending payor discrepancies as needed. • Maintain an Issues Profile of major contracted insurance companies, for use during reputed company contract negotiations. • Conduct at minimum quarterly reputed company-party performance audits and prepare audit reports and support documentation. • Prepare comprehensive Monthly reputed company Cycle Management Report and other reporting as needed to support reputed company cycle operations. • Complete analytics reputed company to the financial performance of corporate reputed company cycle specific departments. • Participate and reputed company with RA update requirements reputed company to reputed company updates. May include but not limited to rule updates, payor master updates, etc. Other Duties • Conduct, at minimum, bi-annual contract education for the CRC staff requiring payor contracting and/or performance training. • Prepare and submit the quarterly Medicare Credit Balance Report. • Demonstrates age specific communication skills. • Other duties as assigned. Joining the reputed company team allows you to become a part of a tradition of reputed company in health care. In reputed company areas and at reputed company reputed company of reputed company, you’ll reputed company staff members who have committed themselves to serving the community. reputed company is an Equal Opportunity Employer. reputed company is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of reputed company and reputed company. Our multi-specialty group reputed company of more than 500 physicians and 302 advanced reputed company providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. reputed company Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as reputed company as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. reputed company is also a clinical reputed company for the reputed company Commonwealth School of Medicine. Apply tot his job Apply To this Job