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Payer Contracting Analyst

19745

Commonwealth Health Corporation
Bowling Green, KY

CHC Administration

Full Time

First Shift

(8.0/40.0) 7:30am to 4:30pm

Under the direction of the Director of Reimbursement and Managed Care Contracting, the Payer Contracting Analyst reviews, researches and analyzes payment variance trends on reimbursement inaccuracies, denials and other claims processing matters for all payers.  Evaluates and validates claim issues, track and report on incorrect payer claims processing, and provide support for Managed Care contract negotiations, implementation and monitoring. Prepares summary documentation, facilitates working relationships with internal and external stakeholders and assists stakeholders in analyzing payer performance and quantifying payer issues. 

Minimum Qualifications:           
Work Experience:
Two years' professional level experience in a healthcare organization required. Experience in Managed Care, accounting or financial analysis preferred.

Education & Training:
Bachelor's Degree in Accounting, Finance, Health Care Administration, Management or related field required.  Master's degree preferred.