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Job Information

LogixHealth Contract Analyst in Bedford, Massachusetts

Purpose

Oversee open and existing contracts. Review payment issues related to payer contracts working directly with VP, RCM and Payers. Solve contracted payments issues.

Duties and Responsibilities

  • Communicate contract status to other departments as needed

  • Meet weekly with management on status of payment variance issues

  • Obtain current contracted rates from clients and other sources

  • Identify existing contracts that are up for renegotiation

  • Assist in the maintenance of the Reimbursement Spreadsheet with participating status, rates and information pertaining to the process of claim payments

  • Update participating provider lists

  • Research and resolve contracted payment issues as needed

  • Review and research payment variance reports

  • Obtain information requested by management

  • Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position

Qualifications

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

High School Diploma or equivalent combination of education and experience required.

Computer Skills

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

Experience

Prior third party billing experience required, prior contracting experience preferred.

Specific Job Knowledge, Skill and Ability

  • Ability to comprehend and communicate contract information

  • Ability to create tables or charts to display contract fees and proposals

  • Ability to effectively present information in one-on-one and small group situations to clients and other employees of the organization

  • Ability to resolve payment issues with insurance carriers

  • Ability to write routine reports and correspondence

  • Ability to communicate effectively verbally and in writing

  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form

  • Ability to deal with problems involving several concrete variables in standardized situations

  • Specific vision abilities required by this job include close vision

  • Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

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