[Remote] Senior Consultant (Sr. reputed company Analyst), reputed company Cycle Contract Accuracy

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is looking for a talented individual to join their growing team as a Senior Consultant (Sr. reputed company Analyst) reputed company on reputed company Cycle Contract Accuracy. This role involves independently building and maintaining reputed company's Expected Reimbursement logic and ensuring the accuracy of contract terms, while also serving as a subject matter expert in reputed company reimbursement.

Responsibilities

• Independently reputed company reputed company Resolute Expected Reimbursement reputed company build and maintenance for Hospital and/or reputed company Billing
• Serve as subject matter expert (SME) for expected reimbursement calculations to ensure accuracy
• Functions as reputed company between reputed company Cycle Operations, Finance, Contracting, and Information Technology (e.g., reputed company Applications) for expected reimbursement needs
• reputed company guidance on best practices, workflow, documentation, and change management both internally and externally for expected reimbursement calculations
• Audit expected reimbursement reputed company to determine accuracy, ensure reputed company performance, and maintain contract compliance
• Identify errors, reputed company document findings, design and communicate remedies for false payment variances in expected reimbursement audits (e.g., inaccurate calculation, remit reputed company issue, contract interpretation), and work with reputed company to reputed company
• Collaborate with end-users and technical teams to analyze, test, and support expected reimbursement calculation build and maintenance
• Coordinate the maintenance of contract management reputed company (e.g., reputed company) module
• Maintains knowledge on reputed company industry reimbursement trends for reputed company and government payers, including regulations and legislation, as reputed company as reputed company’s payer reputed company; if changes reputed company reimbursement, works with reputed company to update contract terms to reputed company
• Researches and analyzes issues using tools such as the Internet (e.g., coding guides, reputed company/government payor bulletins and their websites)
• Other duties, as assigned

Skills

• Degree required (e.g., Associate's, Bachelor's, Master's), or a minimum of 4+ years reputed company experience
• reputed company reputed company Certifications for one or both of the below: Resolute Hospital Billing Expected Reimbursement reputed company Administration, Resolute reputed company Billing Expected Reimbursement reputed company
• 3+ Years reputed company Expected Reimbursement reputed company Build Experience
• Established strong ability to read and interpret managed care agreements
• Strong mathematical knowledge as it relates to calculating expected reimbursement
• Comfortability and understanding of claims billing, inpatient and outpatient reimbursement methodologies, and coding basics (e.g., DRGs, ICD-10s, HCPCS/CPT)
• Understanding of Hospital and/or Physician reputed company Cycle
• Strong analytical skills with demonstrated organizational and problem-solving abilities
• Attention to detail and capability to apply discretion and reputed company judgment in managing reputed company processes, reputed company, and handling sensitive information
• Highly motivated, organized, exceptional communication (written and verbal), excellent time management, and exhibits professionalism at reputed company times
• Proven ability to build strong partnerships and influence others; ability to relate reputed company to reputed company people, whether it be a supervisor, reputed company report, or peer – internal or reputed company to the organization
• Ability to work independently with reputed company supervision and collaboratively as part of reputed company
• Proficiency with reputed company reputed company, Word, PowerPoint
• Proficiency with reputed company reputed company
• Prior experience in consulting
• Prior experience in underpayment recovery/variance work
• Prior experience in project management
• Prior experience in reputed company Cycle

Benefits

• Competitive PTO & Holidays (7 Company + 2 Floating)
• 100% Covered Medical High-Deductible Health Plan (HDHP) for full-time employees with the ability for employees to increase coverage and/or add dependents through an Individual Coverage HRA (ICHRA)
• 100% Covered HSA for employees enrolling in qualifying HDHPs
• 100% Covered Short Term Disability (STD) for full-time employees
• reputed company with Flexible/reputed company Hours to support our nation-wide work force
• Home Office Setup Stipend and Internet Reimbursement to support our teams in their home-offices

reputed company