Contracting & Reimbursement Analyst Finance

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: Yes

Work Schedule: Days

Hours

8-4

Summary

The Contracting & Reimbursement Analyst (CRA) is responsible for monitoring and analyzing reimbursement from third party payer contracts, and government agreements, along with translating payer contracts and fee schedules necessary for the development and proper maintenance in the Electronic Health Record (EHR) system. In coordination with the EHR Application Analysts, the role has responsibility for ensuring contracts are properly loaded and maintained including testing changes, troubleshooting errors and, providing root cause analysis and continuous auditing functions. The CRA also acts as the primary point of contact for resolving contract issues related to reimbursement rates and fee schedules with payers and will assist the billing office with related operational issues. Other responsibilities include data analysis, financial interpretation of contract terms, contract modeling and testing, data validation, payment discrepancy analysis and, maintenance of payer relationships in order to achieve prompt issue resolution.

Responsibilities

EDUCATION & EXPERIENCE

• 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

ENVIRONMENT

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