Analyzing and implementing professional payer contracts, the full-time Medical Group Contract Definition Analyst will work remotely to support the valuation of medical group claims and patient estimates while interpreting payer contracts and reimbursement methodologies. Key responsibilities: Analyze and define medical group contracts for various payer types, including Medicare and Medicaid Interpret payer contracts and fee schedules to ensure accurate system configuration and reimbursement Validate claim and estimate valuations, troubleshoot discrepancies, and respond to support cases Required qualifications: 4+ years of healthcare industry experience with professional/medical group payer contracts and reimbursement 4+ years of knowledge in professional reimbursement methodologies, including RBRVS and fee schedules 4+ years of experience with claim processing guidelines and payer-specific reimbursement arrangements 4+ years of advanced Excel expertise, capable of performing complex functions Bachelor's degree in Healthcare Administration, Business Administration, or a related field is beneficial
Healthcare Contract Analyst in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.