Contract Analyst

LOCATION

Chelmsford, MA onsite

COMPENSATION

$60-$70k

JOB DESCRIPTION

VCourt Recruitment Partners is partnering with our client in the Chelmsford, MA area seeking a Contract Analyst.

Purpose:

Manage contracting processes and staff including training new and existing staff, negotiations, Paid Right application enhancements, auditing to ensure contracts are loaded correctly and researching issues as requested by Associate Director and Executive Director of Billing Operations.

Duties and Responsibilities:

1. Oversee staff review of all contracts for all provider groups that are under review for renegotiation

2. Oversee staff review of all new contract’s provider groups that are interested in entering and carrying out

3. Oversee staff review of all contract-related reimbursement issues

4. Notify Associate Director of any contract related issues/ trends

5. Oversee the use of the Paid Right application and audit contractors loading contracts for various clients

6. Oversee Paid Right enhancements to ensure the application is working properly and raise to Associate Director if there is a bug that needs to be addressed

7. Train new Senior Contract Analysts and Contract Analysts

8. Provide training to all existing employees via in person and virtual

9. Maintain current contracting/ paid right desk reference

10. Ensure new clients are set up within Paid Right and oversee Senior Contract Analyst setting up new contracts for new clients

11. Research questions and issues as requested by Associate Director and Executive Director

12. Assign work to staff and ensure completion

13. Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security a. Adhere to the Code of Conduct and be familiar with all compliance policies and procedures relevant to this position b. Ensure departmental employees follow the Code of Conduct, compliance policies and procedures c. Administer the appropriate sanction when an employee violates a compliance policy or procedure

14. Uphold company mission, vision, and values

15. Facilitate meetings within department and make presentations to senior management as needed

Qualifications:

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.

Computer Skills:

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

Experience:

1. Prior third-party medical billing experience preferred

2. 1-3 years health insurance contracting required

Specific Job Knowledge, Skill and Ability :

1. Ability to use systems, software, websites, and telecommunications to identify issues, obtain necessary information, and take appropriate actions

2. Ability to interact with insurance companies to resolve payment issues

3. Ability to interact with staff to successfully train Follow Up Department employees

4. Ability to audit employees’ performance

5. Ability to maintain records and provide information to Management

6. Ability to maintain current Procedure Manual and training samples

7. Ability to add, to subtract, multiply and divide in all units of measure

8. Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals

9. Ability to write routine reports and correspondence

10. Ability to communicate effectively verbally and in writing

11. Ability to apply common sense understanding to carry out instructions

12. Specific vision abilities required by this job include close vision

13. Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

Work Environment:

This position is located in a temperature-controlled office environment. The noise level in the work environment is usually light to moderate.

This job description is not intended to be an exhaustive list of the duties and responsibilities of this position. Additional duties not included on this job description may be assigned by management at any time, based upon the business needs of the Company. Employees must perform all such duties assigned to them as a condition of employment. Likewise, this job description does not alter the at-will nature of employment at the Company.

For more information and consideration, please contact jill@vcourtrecruitment.com