Top 12 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
Technical Analyst - Facets platform
Vytwo —United States
- Full-time
- Remote
- Mid-level
- Residential
- 3 years
Quick Apply
Developer - C#, VB.NET, ASP.NET - Facets
Vytwo —United States
- Full-time
- Remote
- Computer science
- Computer Science
- Mid-level
Quick Apply
Epic Tapestry UM Analyst
Vytwo —United States
- $50 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Mid-level
Quick Apply
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
Quick Apply
1d
Revenue Cycle Manager
GT Independence —United States
- Management
- Regional
- Senior level
Quick Apply
4d

Discover related jobs

Based on your search for payer contract jobs.

Patient Accounts Coordinator
Peterson Medical Clinics, LLC —Grand Forks, ND
Support revenue cycle operations and reimbursement processes. Assist patients with billing questions and payment-related concerns.
Quick Apply
Patient Accounts Coordinator
Rural Psychiatry Associates —Grand Forks, ND
Support revenue cycle operations and reimbursement processes. Assist patients with billing questions and payment-related concerns.
From $18 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Managed Care Contracting and Analysis
Strategic Health Care —Columbus, OH
Recognized as an industry leader, SHC helps healthcare organizations navigate complex managed care environments and achieve favorable contracting outcomes.
$80,000 - $100,000 a year
Quick Apply
4d
Patient Navigator (Northeast Region)
Genentech —Columbus, OH
The CMG Patient Strategy aims to create a holistic, cross-functional approach to deliver a best-in-class patient experience that aligns with the portfolio,…
$75,200 - $139,700 a year
4d

Show more jobs in cities nearby

I want to receive the latest job alert for payer contract in grand forks, nd

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

payer contract jobs near grand forks, nd

Contract Analyst jobs in Philadelphia, PA

Healthcare Analyst jobs in Connecticut

Data Analyst jobs in Saint Charles, MO

Criminal Analyst jobs in Boston, MA

Contract Analyst jobs in Oakland, CA

Contract Analyst jobs in Tulsa, OK

Contract Analyst jobs in Reston, VA

Contract Specialist jobs in Baltimore, MD

Medical Billing jobs in Augusta, GA

Billing Specialist jobs in Henry Ford Field, MI

Billing Specialist jobs in Albertville, MN

Billing Specialist jobs in Sioux Falls, SD

Billing Specialist jobs in Rock Hill, SC

Revenue Cycle Specialist jobs in Colorado

Revenue Cycle Specialist jobs in Mount Laurel, NJ

Referral Specialist jobs in New York, NY

Revenue Cycle Specialist jobs in Tarpon Springs, FL

Project Specialist jobs in Remote

Revenue Cycle Analyst jobs in Baltimore, MD

Healthcare Revenue Cycle jobs in Indiana

Payer Contract Analyst

Altru Health System -
Grand Forks, ND

Apply Now

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

Refine Your Search

payer contract jobs in grand forks, nd

Payer Contract Analyst

Billing Specialist

Technical Analyst - Facets platform

Developer - C#, VB.NET, ASP.NET - Facets

Epic Tapestry UM Analyst

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

Revenue Cycle Manager

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for payer contract in grand forks, nd

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected