Contract Analyst
Company: Resurgens Orthopeadics
Location: Remote
Posted on: March 19, 2023
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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
PI207127535
Keywords: Resurgens Orthopeadics, Eugene , Contract Analyst, Professions , Remote, Oregon
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