Helion
Healthcare
ProviderContractAnalyst
“Provider Contract Analyst at Helion. Skills: Contract management, Financial reimbursement, Provider relations. Manage post-acute care contracting. Monitor contract terms”
What You'll Achieve.
Ensure favorable financial reimbursement; Ensure compliance with contractual terms; Achieve positive outcomes; Ensure understanding of and compliance with proper guidelines; Identify issues; Determine points of relevance; Determine proper course of actions; Identify, establish and meet goals and objectives
Industry & Context.
Analytical skills; Analyze situations and data
Travel for training or business purposes, Ability to perform under pressure, Work within rigid time constraints, Maintain professionalism, Lifting up to 10 pounds, Lifting 10 to 25 pounds, Lifting 25 to 50 pounds
What They're Looking For.
Must Have
Associates degree in Business, Finance, Information Management, Healthcare Administration or Health Related Discipline, 5 years experience in health care administration/delivery/finance or a related field
Nice to Have
Bachelor's degree in business, finance, information management, healthcare administration or health related discipline, MBA, CPA
What You'll Do.
Manage post-acute care contracting
Monitor contract terms
Perform special studies/audits
Coordinate site visits
Review medical records
Prepare compliance reports
Retract erroneous payments
Manage contract negotiations
Manage financial reimbursement
Process provider settlements
Establish collection protocols
Respond to customer inquiries
Consult with Medical Director
How You'll Work.
Team & Collaboration
Collaborate with development team; Work with sales; Work with customer service
Communication Scope
Superior communication (written and oral); Negotiations
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