Provider Contract Analyst

Job Summary

A company is looking for a Provider Contract Analyst to manage reimbursement contractual language for medical and dental provider contracts.

Key Responsibilities

• Analyze and document pricing requirements, contract design, and configuration for accurate reimbursement allowances
• Interpret medical/insurance codes and support testing and audit requirements
• Participate in client meetings and document policies and procedures

Required Qualifications

• High School Diploma or GED is required
• 3-5 years of experience in the insurance industry
• Strong understanding of pricing methodologies for medical insurance claims
• Knowledge of CPT/HCPCS Procedure codes, revenue codes, and ICD 10
• High aptitude for working with numbers and coordinating team activities