Top 10 Payer contract Jobs in Grand Forks, Nd

Payer Contract Analyst
Altru Health System —Grand Forks, ND
- $60,715.20 - $91,083.20 a year
- Full-time
- Writing skills
- English
- Research
- Disability insurance
- Health insurance
Billing Specialist
Alluma —Crookston, MN
- $22.31 - $25.68 an hour
- Full-time
- Data analysis skills
- Research
- Mid-level
Quick Apply
2d
Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- RN License
- 3 years
- Health insurance
- Dental insurance
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1d
Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
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Billing Specialist
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Valid driver’s license and insurable under the agency’s automobile insurance policy. Associate degree in accounting, finance, medical coding or related field…
$22.31 - $25.68 an hour
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2d
Patient Accounts Coordinator
Peterson Medical Clinics, LLC —Grand Forks, ND
Assist patients with billing questions and payment-related concerns. Work with insurance companies to resolve billing discrepancies.
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Patient Accounts Representative - Hospital Prof Billing
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The ability to do data entry and work a calculator. Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and…

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payer contract jobs near grand forks, nd

Payer Contract Analyst

Altru Health System -
Grand Forks, ND

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Job Details

Full-time
$60,715.20 - $91,083.20 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Writing skills
English
Research

Full Job Description

Everything we do is underscored by a why — and that why is one another.

Location:

Altru Health System,PO Box 6002,Grand Forks, ND 58201

Pay Range: $60,715.20 - $91,083.20

Summary:

The Payer Contract Analyst has responsibility for development and optimization of reporting and analysis for contract performance, reimbursement trends, payer policy changes, and financial performance. This position will work within the Finance team to develop tools for data collection for payment models and trends and analyze their financial impact on the organization. This position will monitor changes in payer contracts and guidelines, for both commercial and commercial payers, to educate and act as a resource for the organization and assist in implementation of changes.

Essential Job Functions:

Assists with preparation of reports and report analysis for reimbursement and utilization issues. Completes financial analysis regarding reimbursement and compliance issues or opportunities.
Monitors all changes to payer contracts and payer guidelines to provide education to appropriate staff prior to changes to ensure timely implementation of upcoming changes.
Analyzes payer reimbursement calculations and charges to validate payments from government and commercial payers to ensure compliance with billing and coding guidelines. Assists with development and analysis of contract proposals and performance. Works with third party payers to address any payment discrepancies or billing issues.
Develops and maintains expert level of knowledge on risk scoring, episodes of care, bundled payments and other industry specific trends in reimbursement methodology.
Summarizes data and findings for internal and/or external audiences. Creates graphical data, written reports, and/or statistical analysis to explain trends and opportunities.
Performs research and stays up to date regarding all third party and government payer rules, regulations, and payment policies. Assists with communication and education with appropriate staff to ensure compliance with changes. Monitors trends for inpatient, outpatient, and physician billing, coding and payment methodology.
Assists in preparation of reporting for Medicare cost report. Develops and maintains expert level of knowledge of Medicare guidelines, reimbursement methods and cost report.
Performs internal audits to ensure billing compliance and optimal reimbursement. Performs department specific analysis of charges to determine correct charges are being utilized. Works with staff to correct trending issues and discrepancies and determine any opportunities for process improvements in billing, strategic pricing, and documentation. Performs research and analysis for new and updated procedures to ensure billing and coding compliance.
Performs other duties as assigned or needed to meet the needs of the department/organization.

Education:

Required: Associates - Business- OR -Associates - Related Field

Preferred: Bachelors - Business

Work Experience:

Required: A minimum of 1 year Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

Sit: Continuously (67-100%)

Stand: Occasionally (5-33%)

Walk: Occasionally (5-33%)

Stoop/Bend: Occasionally (5-33%)

Reach: Frequently (34-66%)

Crawl: Not Applicable

Squat/Crouch/Kneel: Occasionally (5-33%)

Twist: Occasionally (5-33%)

Handle/Finger/Feel: Continuously (67-100%)

See: Continuously (67-100%)

Hear: Continuously (67-100%)

Weight Demands:

Lift -Floor to Waist Level: Sedentary (<10 pounds)

Carry: Sedentary (<10 pounds)

Push/Pull: Sedentary (<10 pounds)

Slide/Transfer: Not Applicable

Working Conditions:

Indoor: Continuously (67-100%)

Outdoor: Not Applicable

Extreme Temperature: Not Applicable

Driving Requirement Definitions:

Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
Occasional Drivers : Persons who drive from once per month to as frequently as once per week.
Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver

Reference ID: R7963

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)

Apply Now

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payer contract jobs in grand forks, nd

Payer Contract Analyst

Billing Specialist

Registered Nurse | Review Analyst I | Remote | Detroit, MI | Contract

Epic Tapestry UM Analyst

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