Review Analyst Job Largo area,Florida USA,Finance & Banking

Position: Contract Review Analyst

Job Functions

This employee reviews payor contracts and information associated to contractual obligations including payor fee schedule changes and posted policy updates for various payors. They will work with Managed Care Contract Administrators, Payor and Price Table Team, and other required departments to ensure that policy guidelines and changes are updated accordingly and timely.

The job functions include:

Contacts payors at times to discuss policies and/or changes

Documents payor requirements according to their policies as well as payor changes and relays changes to the appropriate departments

Pursues, maintains, and communicates medical guideline changes

Helps facilitate interoffice communication on payor updates and changes

Works with the Payor and Price Table team to ensure that policy changes are updated accordingly

Works assigned payors accordingly and timely

Available to assist other members on the team with questions and/or needs

Answers payor policy questions accordingly

Assists in identifying payor changes that need to be addressed

Works with BIS, payor, and price table group to ensure that payor policies are followed and updated accordingly to payor guidelines once changes have been identified

Communicates with the payor regarding policy information

Assists with the delivery directives from Corporate office as they apply to policy changes and/or updates

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