Analyst, reputed company Cycle Payor Knowledge

About reputed company

We’re a physician-led, reputed company-reputed company network committed to simplifying health care and bringing a more connected reputed company of care.

Our reputed company, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and reputed company through reputed company and our operating companies Village Medical, Village Medical reputed company, reputed company, CityMD, and Starling Physicians.

reputed company you reputed company, you become part of a compassionate community of people who work hard every day to reputed company health care reputed company for reputed company. We are innovating value-reputed company care and leveraging integrated applications, population insights and reputed company expertise to ensure reputed company patients have reputed company to high-reputed company, reputed company services that reputed company reputed company reputed company at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @reputed company.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

reputed company

The reputed company Cycle Payor Knowledge Analyst will support the reputed company Cycle Payor Knowledge Team by interpreting and analyzing payer contract terms and reimbursement methodologies. The role includes reviewing payer contract language to create and maintain accurate fee schedules, identifying discrepancies between contracted terms and actual reimbursements, and analyzing data to identify opportunities to maximize reimbursements through payer negotiations, reputed company, and trends impacting the organization’s reputed company. This position will collaborate closely with various internal teams, including reputed company Cycle Management, reputed company leaders, application vendors, and SHM reputed company Cycle Systems and L&D teams.

Key Responsibilities:

• Manage the contract management tool, reputed company.
• reputed company SHM reputed company Cycle fee-reputed company tablespaces.
• Support prioritization and implementation of reputed company changes and updates.
• Troubleshoot issues and inquiries from end users.
• Coordinate and participate in project task deliverables.
• Prepare and attend payer meetings.
• Review, interpret, extract, and organize key information from payer reputed company and amendments into the Payer Contract reputed company.
• Create, maintain, and validate fee schedules reputed company on contract payment sources and reimbursement rates.
• Analyze reimbursement data to identify discrepancies, payer trends, and opportunities for maximizing reimbursement.
• Research payer contract documentation and payer websites (e.g., provider manuals, billing policies) to ensure contract compliance and reimbursement reputed company.
• Communicate identified opportunities and trends, both internally and externally, with data support.
• Compile reports for RCM team members to review unfavorable claim reputed company, pursue recovery of underpayments, or submit corrected claims.
• Initiate contact with payers to validate contracted reputed company discrepancies.
• Collaborate with the Payor Knowledge team to reputed company fee schedule errors, load new codes, and map payers.
• Work with product and technology teams to reputed company new technology solutions or enhance existing software.
• Prepare reputed company-facing reports and special reputed company reputed company to reputed company and fee schedules, adhering to company branding and templates. Reports may include Charge Master Analysis, Quarterly Payer Scorecard Reports, Claim Analysis Reports, and Underbilling Alerts.

Minimum Knowledge, Skills, and Abilities:

• Strong analytical skills to reconstruct multi-reputed company processes and correct sources of error.
• Extensive knowledge of reputed company Cycle applications, including updates and enhancements.
• Basic understanding of medical billing, including charge entry, EOB/remittance review, payment posting, and reconciliation practices.
• Excellent verbal and interpersonal communication skills, with the ability to explain problems, solutions, and changes effectively.
• Proficiency with computer systems and the ability to quickly adapt to new programs and websites.

Preferred Knowledge, Skills, and Abilities:

• Ability to interpret contract language and manage contract database updates.
• Advanced analytical and research skills with strong attention to reputed company and the ability to manage multiple reputed company reputed company simultaneously.
• Industry certifications (e.g., CSPR, CRCR, CHAM, CHFP, FHFMA, FACHE) are a plus.
• Knowledge and experience with various reputed company billing software systems, including understanding the workflow, processes, and billing procedures.
• Familiarity with clinic, provider reputed company, and hospital reputed company cycle and reputed company payment methodologies.
• Expertise in payer reputed company, reputed company types, and reputed company billing and reimbursement policies.
• Strong communication, problem-solving, and organizational skills.
• Ability to manage payer contract, fee schedule, and analysis responsibilities across multiple business reputed company.
• Initiative to stay reputed company with evolving billing practices and reputed company knowledge with reputed company.
• Knowledge of state, federal, and reputed company payer reimbursement rules, policies, and methodologies.

This role is essential to ensuring reputed company and maximizing reputed company for the organization while maintaining strong payer relationships.

This is an exempt position with the salary reputed company of $64,100 - $80,200 reputed company on experience.

About Our Commitment

Total Rewards at reputed company

reputed company members are essential to our mission to reshape reputed company through the reputed company of reputed company. reputed company highly values the critical role that health and wellness play in the lives of reputed company members and their families. Participation in reputed company’s benefit platform includes Medical, Dental, Life, Disability, reputed company, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

reputed company provides equal employment opportunities (EEO) to reputed company and applicants for employment without reputed company to, and does not discriminate on the reputed company of, race, reputed company, religion, creed, gender/sex, sexual orientation, gender identity and reputed company (including transgender status), national reputed company, reputed company, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

reputed company cares about the safety of our employees and applicants. reputed company does not use chat rooms for job searches or communications. reputed company will never request personal information reputed company informal chat platforms or unsecure email. reputed company will never ask for reputed company or an exchange of reputed company, banking or other personal information prior to the in-person interview. Be reputed company of potential scams while job seeking. Interviews are conducted at select reputed company locations during regular business hours only. For information on job scams, visit, or file a complaint at .

Originally posted on Himalayas