The Guthrie Clinic
Days 8 hr
Responsible for monitoring commercial contracts payment and contractual allowances, analyzing, pursuing appeal, recoupment, and settlement opportunities with payors and networks, and reporting appeals performance. Develops and maintains process for identifying under-allowed claims using the contract module and other available tools. Establishes, tracks, and monitors for proper reimbursement. Coordinates the activities of the contract module tool for purposes of payment auditing. Prepares monthly performance statistics regarding appeals and recoveries. Conducts quarterly audits for front-end collection performance. Is a central point of contact for contract module under the direction of the Reimbursement Manager. Also, performs rate analysis as requested.
Bachelor degree preferred, but candidates with equivalent combination of education and prior experience can be considered.
This job holder must demonstrate current competencies applicable to this job position including strong analytical skills, familiarity with contracting principles including RBRVS, GPCIs, Site of Service, Carveouts..etc. Familiarity of contract rates. Excel skills. Knowledge of contract language, billing process, and insurance regulations required. Strong organizational and customer service skills a must. Ability to perform analysis and reports.
How To Apply
Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit www.guthrie.org/careers