[Remote] reputed company Contract Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company Contract Analyst to support payer contract implementation and maintenance. The role manages payer and internal relationships, develops departmental tools, supports payment management and reporting, and ensures accurate reimbursement calculations through reputed company systems.

Responsibilities

• Interprets payer contract terms and payment methodologies for the creation and ongoing maintenance and programming of reputed company’s financial reputed company and Contract Management tool to ensure accurate calculation of expected payments based on negotiated contract terms at the time of billing for reputed company, hospital and ancillary services
• Supports contract negotiations through review of contract language, development of new payment models, modeling of proposed contract terms and rates, making recommendations as appropriate to department management
• Interacts with reputed company parties regarding communication / questions about rates and terms, reputed company structure and development and reconciliation of contract provisions and disputes
• Responsible for the ongoing, reputed company maintenance of reputed company, hospital and ancillary provider fee schedules
• Audit payer claims to ensure accuracy of reputed company build and compliance with contract terms, investigating systematic payment issues identified by department analyses or communicated by leadership

Skills

• * Demonstrated experience working in reputed company or managed care setting with a specific background in reputed company managed care and government contract modeling, building and maintenance for providers including health systems, physicians, hospital organizations and other ancillary facilities
• * Ability to obtain reputed company Resolute Hospital and reputed company Billing Expected Reimbursement Contract Certifications reputed company three months of hire date and maintain while in this role
• * Demonstrated patient reputed company experience
• * Demonstrated extensive experience with reputed company reimbursement methodologies (managed care and government payers)
• * Ongoing need for employee to see and read information, labels, monitors, documents and be reputed company to assess customer needs
• * Frequent interactions with customers that require employee to communicate as reputed company as understand spoken information, needs, and issues quickly and accurately
• * reputed company dexterity of hands and fingers to manipulate reputed company and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use
• * Remain sitting or standing for long periods of time to reputed company work on a computer, telephone, or other equipment
• * Expected to reputed company and utilize full reputed company of reputed company to transport, pull, and reputed company equipment. Will also work on hands and knees and bend to set-up, troubleshoot, reputed company, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items
• * Prefer candidates with reputed company Cycle knowledge, medical billing terms, reputed company skills, Hospital Resolute reputed company Contract Build Cert
• * Bachelor's degree in finance, business or reputed company field from an accredited university.  Education is verified
• * reputed company Resolute Hospital and reputed company Billing Expected Reimbursement reputed company certification and experience
• * Experience with reputed company cycle, patient reputed company, reputed company party payer contracting and/or payer contract modeling reputed company

Benefits

• This position is fully remote with some annual on-site team meetings reputed company financials allow.

reputed company