Contract Analyst

Company: Resurgens Orthopeadics
Location: Remote
Posted on: March 19, 2023

Job Description:

Description:United Musculoskeletal Partners is seeking a Contract Analyst that will ensure compliance with corporate policies regarding payment and contractual allowance. Verification with all payers by auditing contracts in the contract management system, and calculation of expected reimbursement. Researching to ensure governmental rates are updated timely as well. The Contract Analyst role includes reconciliation of the contract management system back to source systems and reporting of payment variances. Requirements:As a key member of the Revenue Integrity team, the Contract Analyst: - Analyze data to find missed revenue opportunities - Audit contracts prior to movement into production within contract management system - Coordinate changes needed to contract profiles or system set up - Maintain working relationships with Managed Care Department, to ensure timely loading of contracts and proper interpretation of contract language - Research to identify changes for governmental payers for contract loading and auditing. - Monitor Payer websites for changes to payment rates or methods - Provide analysis of data in contract management system to Practices and corporate management as requested. - Maintain working knowledge of contract management and patient accounting systems. - Build relationships with Finance, Revenue Cycle and Managed Care Personnel - Analyze data to determine corrective actions needed to effectively direct changes required to maintain the integrity of the fee schedules in the contract management system. - Ability to understand payment methodology and utilize formulas with system syntax to correctly program reimbursement rates for contracted commercial and governmental payers - Provide support to end users for contract management system reimbursement detail of contracts loaded - Reconcile Contract Management System files back to source systems - Reporting for payment variance reviews - Work with Charge Master owner to provide guidance on rates to avoid losing reimbursement from lesser of charge language (pricing optimization) EDUCATION AND EXPERIENCE - Bachelor's Degree in Accounting, Finance or Business or commensurate experience. - 2 plus years of contract management (Revenue Integrity ) experience preferred - 2 plus years of experience working with Reimbursement methodology requiredSKILLS/ABILITIES - Excellent verbal, analytical and interpersonal skills - Intermediate level of Excel knowledge required for optimal functionality in the role - Proficiency in Microsoft Office Suite - Knowledge of Managed Care Contracts and Medicare payment methodologies desirable



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Keywords: Resurgens Orthopeadics, Eugene , Contract Analyst, Professions , Remote, Oregon