The Contract analyst develops and maintains contract related information in an electronic format, loads rates into MS4 Expected Reimbursement or its successor, prepares contract reimbursement overviews, tracks and on a monthly basis reports all required health plan notifications. Identifies and resolves contract-related operational issues in a timely and efficient manner. Duties will include processing all payor credentialing requests as well as managing all routine department communications.
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Excellent customer services skills.
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Analytical and problemsolving skills are a must.
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Demonstrated ability to effectively produce assignments within required time frames.
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Demonstrated outstanding skill in prioritizing work tasks and assignments.
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Demonstrate sound decision making and prioritization skills.
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Able to multitask.
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Literacy in PC applications such as Word and Excel (Access preferred).
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Demonstrates ability to extract, compile and format data to produce a variety of reports and presentations.
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Previous experience with databases, including report writing and design is preferred.
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Good mathematical skills.
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Strong verbal and written communication skills required.
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Critical thinking and detailed oriented.
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Exceptional team player and strong communication skills.
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Excel spreadsheet power user
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Intermediate to advanced user of spreadsheet and database.
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Understands UB04/837 data elements
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Bachelor’s degree
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Experience in managed care, extensive knowledge in payment methodologies, stop loss, DRGS, HCPCS and ICD9 codes, per diems, exceptions, etc.
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Extensive experience analyzing rates, utilization data and developing pricing models.
Texas Connect, Inc. (TCI) is a Management Services Organization (MSO). As an MSO, we are dedicated to providing business and administrative services for healthcare providers, such as medical practices and hospital systems, allowing them to focus on patient care. TCI handles crucial backend functions, such as Information Technology, Billing, and Medical Coding. This allows our client healthcare organizations to delegate these and other essential, but non-medical tasks to TCI to improve operational efficiency. https://www.texasconnectinc.com
