Contracting & Reimbursement Analyst Finance

Responsibilities

• Monitor and analyze reimbursement from third party payer contracts and government agreements.
• Translate payer contracts and fee schedules necessary for the development and proper maintenance in the Electronic Health Record (EHR) system.
• Ensure contracts are properly loaded and maintained, including testing changes, troubleshooting errors, and providing root cause analysis and continuous auditing functions.
• Act as the primary point of contact for resolving contract issues related to reimbursement rates and fee schedules with payers.
• Assist the billing office with related operational issues.
• Perform data analysis, financial interpretation of contract terms, contract modeling and testing, data validation, and payment discrepancy analysis.
• Maintain payer relationships to achieve prompt issue resolution.

Requirements

• Bachelor's Degree with a minimum two (2) years of job experience in a business or healthcare related field, or
• Associate's Degree with a minimum four (4) years of job experience in a business or healthcare related field.

Knowledge, Skill and Ability

• Strong written and verbal communication skills.
• Strong organizational skills and capable of responding to tight deadlines.
• Strong decision making ability.
• Exemplary analytical and problem solving skills.
• Ability to respond to changing or shifting priorities, expectations, and timetables.
• Strong interpersonal skills.
• Proficiency with MS office (Word, Excel).
• Ability to work well in a team-orientated environment with all levels of the organization.

Working Conditions

• Some local travel is required.
• Normal heat, light space, and safe working environment; typical of most office jobs.