Our client, a leading organization in the healthcare industry, is seeking a dedicated and detail-oriented Plans and Fees Analyst to join their team. As a Plans and Fees Analyst, you will be an integral part of the Revenue Cycle Management department supporting the billing and contracting teams. The ideal candidate will demonstrate strong analytical skills, excellent communication, and a proactive approach to problem-solving, which will align successfully within the organization.
Job Title: Plans and Fees Analyst
Location: Oakland, CA (Hybrid)
Pay Range: $38.00-$50.00 per hour
What’s the Job?
- Load and maintain payer plans, benefit structures, and fee schedules within the Epic system according to organizational and payer requirements.
- Perform testing and validation to ensure accurate fee mapping, contract adherence, and reimbursement outcomes.
- Collaborate with cross-functional teams including RCM Business Analysts, Billing, and Contracting to identify configuration gaps and opportunities.
- Conduct comprehensive end-to-end testing of fee and plan builds, documenting all validation results and test cases.
- Troubleshoot issues related to plan configuration and fee schedule mapping, escalating as necessary to ensure resolution.
What’s Needed?
- Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field preferred.
- Minimum of 5+ years of experience in revenue cycle, payer contracting, or fee schedule management.
- Strong understanding of dental insurance reimbursement methodologies, payer contracts, and fee loading processes.
- Demonstrated analytical and testing skills with meticulous attention to detail.
- Proficiency in Excel and data validation tools, with excellent communication skills for cross-team collaboration.
What’s in it for me?
- Opportunity to work with a dynamic and innovative healthcare organization.
- Engage in meaningful projects that impact reimbursement accuracy and operational efficiency.
- Collaborate with talented professionals across multiple teams.
- Develop your skills in a supportive environment focused on growth and excellence.
- Enjoy a competitive pay rate and a comprehensive benefits package.
Upon completion of waiting period, consultants are eligible for:
- Medical and Prescription Drug Plans
- Dental Plan
- Vision Plan
- Health Savings Account
- Health Flexible Spending Account
- Dependent Care Flexible Spending Account
- Supplemental Life Insurance
- Short Term and Long Term Disability Insurance
- Business Travel Insurance
- 401(k), Plus Match
- Weekly Pay