This position is responsible for performing complex managed care financial analysis and assisting with contract negotiation processes
Job Summary
This position is responsible for performing complex managed care financial analysis and assisting with contract negotiation processes.
The role requires acting as a liaison between contract management system administrators, Revenue Cycle, and Managed Care negotiators to resolve issues.
Candidates must be able to calculate and audit expected reimbursement to determine the accuracy of payment from payers.
Matching Summary
This position is responsible for performing complex managed care financial analysis and assisting with contract negotiation processes.
Skills & Requirements
Must-have
4 years managed care contracting experience
Knowledge of SQL programs and billing practices
Ability to interpret Managed Care Contracts
Nice-to-have
Excellent organizational and communication skills
Willingness to learn system administration
Demonstrates respect for co-workers
Key Requirements
High School Diploma or GED
Four (4) years related managed care experience
Experience in hospital or managed care payor setting