Hospital Contract Definition Analyst - Remote

Overview

The Hospital Contract Definition Analyst plays a critical role in implementing and maintaining hospital payer contracts, ensuring compliance and accuracy in reimbursement methodologies.

In Short

• Analyze and maintain hospital payer contracts using Experian Health's Contract Manager software.
• Research payer websites and regulatory sources to stay current on reimbursement policies.
• Validate system-generated valuations against client-submitted claims.
• Participate in internal and client meetings for project agreement and issue resolution.
• Contribute to process improvements for data accuracy.
• 3+ years experience in hospital industry and payer contracts.
• 2+ years experience with hospital billing and claims management.
• Bachelor's degree in relevant field or equivalent experience.
• Proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10.
• Flexible work environment with remote options.

Requirements

• 3+ years experience in the hospital industry.
• 2+ years direct experience with hospital billing and payer contracting.
• In-depth knowledge of facility reimbursement models.
• Proficiency in coding systems including CPT, HCPCS, DRG, Revenue Codes, and ICD-10.
• Ability to learn new reimbursement methodologies.
• Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration.

Benefits

• Great compensation package and bonus plan.
• Core benefits including medical, dental, vision, and 401K.
• Flexible time off including vacation and sick leave.
• Family leave and remote work options.
• Recognition as a great place to work.