Contract Analyst
PIH Health · Whittier, CA · 3 wk ago
AnalystFull-time
About the role
The Contract Analyst at PIH Health is responsible for developing and maintaining contract related information in an electronic format, loading rates into MS4 Expected Reimbursement or its successor, preparing contract reimbursement overviews, tracking and reporting required health plan notifications, identifying and resolving operational issues, and processing payor credentialing requests.
Responsibilities
- Develops and maintains contract related information in an electronic format
- Loads rates into MS4 Expected Reimbursement or its successor
- Prepares contract reimbursement overviews
- Tracks and on a monthly basis reports all required health plan notifications
- Identifies and resolves contract-related operational issues in a timely and efficient manner
- Processes all payor credentialing requests
- Manages all routine department communications
Requirements
- Excellent customer service skills
- Analytical and problem-solving skills
- Demonstrated ability to produce assignments within required time frames
- Demonstrated outstanding skill in prioritizing work tasks and assignments
- Sound decision-making and prioritization skills
- Able to multi-task
- Literacy in PC applications such as Word and Excel (Access preferred)
- Ability to extract, compile, and format data to produce a variety of reports and presentations
- Previous experience with databases, including report writing and design is preferred
- Strong mathematical skills
- Strong verbal and written communication skills
Qualifications
- High school graduate
- Extensive knowledge in payment methodologies, stop loss, DRGS, HCPCS and ICD-9 codes, per diems, exceptions, etc.
- Intermediate to advanced user of spreadsheet and database
- Understanding of UB04/837 data elements
Benefits
PIH Health offers a comprehensive benefits package including health insurance, dental insurance, vision insurance, retirement plans, paid time off, and more.
Pay
$660,608.00 - $1,089,920.00 annually
Schedule
Full-time position
Contact
Address: 6557 Greenleaf Ave.
Salary Range: $660,608.00 - $1,089,920.00 annually
Shift: Day
Zip Code: 90601