Contract Ops Spec

Acathospital

Base: $28.55 - $42.85; bonus/equity: not specified...
Managed care reimbursement analysis
Payment discrepancy identification
Contract compliance monitoring
Analyzes and audits Managed Care reimbursements of designated contracts to ensure payor's compliance with payment terms

Job Summary

  • Analyzes and audits Managed Care reimbursements of designated contracts to ensure payor's compliance with payment terms.
  • Serves as a liaison, and effectively communicates with providers, physicians, payors, consultants, agents, and Aurora departments.
  • Effectively educates and trains staff on managed care principles, contract requirements and administration procedures to maximize revenue.

Matching Summary

Analyzes and audits Managed Care reimbursements of designated contracts to ensure payor's compliance with payment terms.

Salary

Base: $28.55 - $42.85; Bonus/Equity: Not specified; Benefits: Comprehensive suite of Total Rewards

Skills & Requirements

Must-have

  • Managed Care Reimbursement Analysis
  • Payment Discrepancy Identification
  • Contract Compliance Monitoring
  • Revenue Opportunity Identification
  • Third Party Software Utilization

Nice-to-have

  • Process Improvement Initiatives
  • Staff Education and Training
  • Interdepartmental Collaboration
  • Positive Relations Facilitation

Key Requirements

  • 3 years of experience in managed care contracting
  • Bachelor's Degree in Health Care Administration
  • Proficiency in Microsoft Office Suite

Work Rights

Not specified

Tailored Resume

Cover Letter