Job # 24680 Managed Care Contract Collector Analyst
Acclivity Healthcare - Your personable, proven partner!
Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent.
Compensation and Schedule for the Managed Care Contract Collector Analyst
Managed Care Contract Collector Analyst –?Full-time, work-from-home, $25?per hour, Monday to Friday, 8:00am to 4:30pm. Join a family environment with huge growth potential!
Required Qualifications of the Managed Care Contract Collector Analyst
- 3+ years of recent healthcare data analytics experience required
- Physician reimbursement experience required
- High school diploma or GED required
- Must successfully pass a criminal background check and drug screen
Responsibilities of the Managed Care Contract Collector Analyst
- Prepare analysis related to the financial and operational performance of healthcare contracts, including the impact of regulatory rate or other changes and identify the financial and/or operational performance of those agreements
- Recommend areas of improvement
- Provide analysis for Medicaid and other Managed Care products such as HMO, PPOs and POS products
- Create and maintain reimbursement schedules in third-party analytic software
- Monitor and trend third party reimbursement including denial analysis
- Create financial models as required to analyze data and report efficiently for existing and new reports
- Support management by providing information, locating data sources, and collecting data under tight time constraints
- Identify and analyze utilization patterns driving healthcare costs and recommend actions to impact financial performance
- Review all shared risk claims, capitation, risk pool settlements, and various reports submitted by the health plans
- Submit shared risk discrepancy reports within the time limits required by each individual health plan and in the format requested by each individual health plan
- When necessary, serve as the liaison between health plans and revenue cycle
- Create various reports regarding payor reimbursement for senior leadership
- Provide recommendations to revenue cycle team regarding changes in utilization of applications
- Assist in the development of training materials and ensure the revenue cycle team receives proper training and is knowledgeable in the use of applications
- Extract and query data from multiple sources and systems and compile data in the form of written and verbal reports and presentations
- Create queries to pull financial/claims data to develop analytical and statistical models to help customers make informed business decisions
- Identify and communicate trends and/or potential issues to management team
About the Company
This well-known and successful healthcare system has remained a symbol of quality in Arizona for the past decade. They are one of the fastest growing medical management companies, and they have won numerous awards as a top healthcare employer because of the great work environment and commitment to the development of their employees. This fast-paced organization has an immediate need for several organized and friendly Managed Care Contract Collector Analyst to join their team!