Contract Review Analyst

Job Functions

• Contacts payors at times to discuss policies and/or changes
• Documents payor requirements according to their policies as well as payor changes and relays changes to the appropriate departments
• Pursues, maintains, and communicates medical guideline changes
• Helps facilitate interoffice communication on payor updates and changes
• Works with the Payor and Price Table team to ensure that policy changes are updated accordingly
• Works assigned payors accordingly and timely
• Available to assist other members on the team with questions and/or needs
• Answers payor policy questions accordingly
• Affords assistance in identifying payor changes that need to be addressed
• Works with BIS, payor, and price table group to ensure that payor policies are followed and updated accordingly to payor guidelines once changes have been identified
• Communicates with the payor regarding policy information
• Affords assistance with the delivery directives from Corporate office as they apply to policy changes and/or updates