LogixHealth Contract Analyst in Bedford, Massachusetts
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
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.
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
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