Job Summary
A consumer and business credit reporting and marketing service provider needs applicants for an opening for a Remote Healthcare Payer Contract Definition Analyst II.
Core Responsibilities Include:
- Defining and maintaining payer contracts
- Auditing implementations to ensure clients have provided the necessary information needed
- Answering valuation-related support cases from clients
Skills and Requirements Include:
- Minimum of 5 years' experience working in the physician and/or hospital industry
- Physician and/or Hospital billing and/or payer contracting as well as claims management background required
- Bachelor's degree or greater in related field, or equivalent combination of education and experience
- Experience in Claims Scrubbing and application of edits for Medicare, Medicaid and commercial payers for both Hospital and Physician
- Broad range knowledge of different types of providers, including facility versus non-facility based valuations
