Contract Analyst

 About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY:

The purpose of a Contract Analyst is to analyze and enter managed care contract terms into the PARA Data Editor (PDE) for Pricing, Reimbursement Analysis, and Patient out of pocket quotes for services.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Essential Functions:

• Entering terms of payer contracts into proprietary web tool
• Interpreting contract reimbursement terms for hospital and professional medical services
• Email and telephone contact with clients to resolve questions and issues regarding contracts
• Comply with privacy laws and our client’s needs
• Attend client meetings
• Overcome obstacles by using effective information gathering and problem-solving methods

Knowledge, Skills & Abilities:

• Must be able to read and understand a managed care contract
• Familiarity with DRG, HCPCS, CPT, ICD-10 and Revenue Codes
• Knowledge of how to operate basic computer functions, including Microsoft Office 
• Proficiency in reading, writing, and arithmetic in order to analyze contract terms and understand how to apply contract rates
• Must demonstrate good verbal and written communication skills
• Must possess good customer service skills
• Ability to handle multiple tasks at once
• Ability to work efficiently, in an organized fashion, to meet project deadlines
• Must be able to work independently as well as part of a team
• Must be able to perform other tasks as assigned

Qualifications and Requirements:

Education & Work Experience:

• Minimum of 1 year of experience with healthcare providers or the healthcare segment, preferably in Patient Financial Services
• Minimum of 3 years of verifiable work history
• Must have achieved a High School Diploma or GED

Competencies: 

• Detail-oriented and organized.
• Strong written and verbal communication.
• Ability to work independently to solve problems or escalate when necessary.

Physical Requirements and Demands:

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.

Regular eye-hand coordination and manual dexterity are required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, incumbents are subject to sitting for prolonged periods. Infrequently, the incumbent must be able to lift and move material weighing up to 20 lbs. Incumbents may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the employee’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.