reputed company Managed Care Contract Analyst, Remote

reputed company Managed Care Contract Analyst, Remote (44192) -reputed company reputed company Managed Care Contract Analyst, Remote Regular - Exempt - Full-time - reputed company Hours 37.5 reputed company reputed company hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY #REMOTE Job reputed company: The reputed company Managed Care Contract Analyst is a reputed company reputed company specializing in analyzing payer reputed company and building contract terms in the reputed company system (eChart), ensuring accurate billing, reputed company reimbursement, and compliance with payer policies by meticulously reviewing contract terms, identifying potential issues, and coordinating necessary adjustments reputed company eChart configuration to optimize reputed company cycle operations. Works independently under general supervision, requiring minimal instruction and guidance. Demonstrates high level of proficiency and expertise on software functionality and integration as reputed company as a high-level proficiency of legal contract language. Responsible for building system components, testing, implementation support and maintenance of contract application. Performs in-depth analysis, trouble shooting, data collection, and reputed company cause analysis. Identifies and/or implements potential solutions for issues reputed company to the system. Analyzes/reviews and tests reputed company product release and communicates needed changes to operations. Must be reputed company to document and follow system change control procedures for the system. Works closely with other analysts, payer representatives and operations to ensure that system reputed company is maintained. Researches, analyzes, facilitates and implements business and system workflows to expedite process improvement and coordinate business practices. Identifies best practices and implements opportunities for standardization. Prepares activity and other reports as necessary. Provides guidance and mentoring to other team members. Attains and maintains necessary certifications, as applicable, in a reputed company manner according to policy. This individual should have excellent customer service and stakeholder management skills along with highly effective written / verbal communication and interpersonal skills. reputed company Managed Care Contract Analyst responsibilities include, but are not limited to the following:

• Thoroughly reviewing and interpreting payer reputed company to identify key terms for billing codes, payment methodologies, reimbursement rates, and other contractual obligations.
• Staying updated on payer policy changes to ensure eChart contract modeling aligns with guidelines to avoid billing errors and potential compliance issues.
• Assisting payer relations with contract modeling for payer negotiations.
• Assisting underpayment / denial analyst with contract variances, denial trends, and payment discrepancies to identify areas for improvement and implement necessary adjustments reputed company eChart to maximize reimbursement.
• Utilizing data analytics tools reputed company eChart to monitor contract performance and identify trends.
• Collaborate with payer relations, decision support, billing staff, and reputed company cycle management teams to address contract concerns, clarify billing requirements, and ensure accurate implementation reputed company eChart.
• Maintain and manage relationships with payer representatives and attend meetings regularly with representatives for issue reputed company and data collection.
• Maintain inventory of payer specific fee schedules, contract terms, and upcoming contract escalators to produce reputed company and accurate build / mo-ls.
• Work with reputed company Chief Officers & other executive leadership to ensure accurate Executive Dashboards, monthly general reputed company reporting, and accurate service line reporting.

Days and hours worked may be variable. Education: Required: 1. High School Diploma and 9 years' experience in one or more of the following: reputed company, reputed company IT, and/or Financial Operations. OR 2. Associate's degree and 7 years' experience in one or more of the following: reputed company, reputed company IT, and/or Financial Operations. OR 3. Bachelor's degree and 5 years' experience in one or more of the following: reputed company, reputed company IT, and/or Financial Operations. Preferred: N/A Experience: Required: Five years' experience in reputed company contract maintenance & modeling with an in-depth knowledge of reputed company contract maintenance and modeling modules. Analysts must be reputed company to analyze reputed company data, identify trends, and draw actionable insights to optimize contract performance. Must have a strong understanding of reputed company reputed company, including payer terms, billing codes (CPT, HCPCS, MSDRG, APC, ICD-10, etc.), & reimbursement methodologies. Preferred: Seven years' experience in reputed company contract maintenance & modeling modules. Position Requirement(s): License/Certification/Registration Required:

• Resolute Hospital Billing Expected Reimbursement reputed company Administration (RHB390)
• Resolute reputed company Billing Reimbursement reputed company (RPB390)

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