The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system.
You will ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims and patient estimates and collaborate with senior team members to process new client implementations.
Independently manages routine maintenance cases, ensuring compliance with enterprise standards and client expectations.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries where their corporate headquarters are in Dublin, Ireland.
Maintain the AthenaIDX practice management system.
Translate business needs into system updates.
Troubleshoot errors and support third-party vendors.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Responsible for timely responses to internal and external customers.
Works as part of a multi-departmental team to provide answers to billing inquiries.
Provides a variety of revenue cycle support services in connection to day-to-day operations.
Athletico empowers people, inspires hope, and transforms lives. They accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care. They have a unique culture built on teamwork, understanding, recognition, people-focus, accountability, innovation, trust, and integrity.
Performs final reconciliation on clinic/provider visits, resolving documentation issues.
Reviews, abstracts, and codes multiple services and complex cases, assigning classifications.
Researches/resolves high volume accounts/claims and educates staff on guidelines.
University of Utah Health is a patient-focused organization with a mission to enhance the health and well-being of people through patient care, research, and education. They have five hospitals and eleven clinics and are known as a Level 1 Trauma Center, nationally ranked for academic research and patient experience.
Responsible for analyzing accounts receivable, monitoring performance, and performing technical and analytical functions to support the revenue cycle.
Uses technical tools and functional knowledge to create long term and ad hoc solutions that create visibility for stakeholders and drive operational excellence.
Completes variance analysis relative to budget or pro forma targets, researches root causes for variance, and reports findings to management.
NorthStar Anesthesia is a company of caregivers, founded by an anesthesiologist and a Certified Registered Nurse Anesthetist (CRNA). With more than 4,000 anesthesiologists and CRNAs under its banner, NorthStar partners with more than 280 client sites across over 20 states and counting to deliver a more productive and efficient model of anesthesia care.
Receive and resolve patient correspondence regarding insurance billing.
Answer all correspondence relating to billing questions.
Verify insurance status, eligibility and general account information.
MANA Administration provides support services for 27 physician-owned medical practices in Northwest Arkansas. Their Administrative team are independent and work together, to help their physicians and clinics provide compassionate, comprehensive, quality health care while maintaining a healthy work-life balance.
Exercises a high degree of control over confidential medical information.
Keeps current with changing billing requirements and shares pertinent information with billing team members.
Analyzes and initiates corrective action for patient claims.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for patients and each other.
Support implementation teams with deployment of Experian's ClaimSource revenue cycle management system.
Analyze internal processes and recommend improvements to enhance efficiency, automation, and effectiveness.
Build strong relationships with clients and implementation/service teams; participate in regular client calls.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. We operate across a range of markets and have a team of 23,300 people across 32 countries, investing in people and new advanced technologies to unlock the power of data and to innovate.
Spring Health aims to revolutionize mental healthcare by removing barriers to access. They partner with over 450 companies and offer mental health services to 10 million people, with a valuation of $3.3 billion after their Series E Funding.
Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
Support for the development and deployment of audit procedures applied to payer data sets.
Partner across teams and with payers to resolve data discrepancies.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Prepare daily/weekly/monthly reporting and explanations of changes to the borrowing base or asset sale base.
Prepare estimations, analysis, and reconciliation of funds flow/funds matching / draws from bank accounts.
Support accounting footprint on capital market activities and work with engineers to develop automated reports.
Aven is a fintech company that has invented a new credit card powered by an advanced asset-securing platform, enabling them to offer lower APRs to consumers. The team combines technology and finance executives and is backed by prominent investors.
Own the planning, coordination, and execution of billing-related initiatives.
Coordinate intake, testing, approvals, and deployment of billing communication updates.
Manage and prioritize billing-related incident tickets, partnering with IT and vendors.
Brightspeed provides fast, reliable internet connections and customer experience in twenty states throughout the Midwest and South. They are backed by funds managed by Apollo Global Management and are upgrading copper to fiber optic technologies to traditionally underserved rural markets.
Analyze core revenue metrics and translate trends into actionable insights.
Build and deliver executive-level dashboards and reports for revenue visibility.
Identify risks and opportunities across pipeline, bookings, and GTM efficiency.
Henry Schein One is a global leader in dental management, analytics, communication, and marketing software, providing users with a seamless and integrated experience. They have approximately 25,000 team members worldwide and focus on the wellness of their team, offering opportunities for individuals to develop and contribute authentically.
Relaying participant eligibility information to insurance carriers via email, fax or mail following standard operating practices.
Performing day-to-day data entry tasks and other clerical support tasks to facilitate the capture, transfer and maintenance of accurate and timely data/records.
Answering questions or explaining information to clients and participants, reviewing files, records and other documents to obtain information for a response to requests regarding a benefit plan or personal participant account status/activity.
HealthEquity's mission is to SAVE AND IMPROVE LIVES BY EMPOWERING HEALTHCARE CONSUMERS. They aim to make HSAs as widespread and popular as retirement accounts, providing solutions that allow American families to connect health and wealth.
Perform comprehensive review and oversight of medical records for Risk Adjustment compliance keeping with CMS and departmental guidelines with a 95%+ accuracy rate
Collaborates with a variety of internal and external clients, including health care executives, physicians, provider office personnel, and payer representatives from various health plans to streamline and optimize accurate diagnosis code capture.
Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented.
Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” and they recognize that work is a part of life, not separate from it, and foster a flexible environment.
Evaluate, procure and incorporate data sources to support and monitor the performance of lorundrostat in hypertension.
Oversee the design and implementation of dashboards, KPIs, and reporting tools to monitor brand performance and commercial effectiveness for cross-functional stakeholders.
Manage external vendors to ensure timely and high-quality delivery of analytics projects.
Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities. Mineralys is a fully remote company.
Conduct complex analytic studies using statistical techniques on healthcare data.
Present findings through charts, tables, and graphs for easy interpretation.
Create and maintain efficient statistical and analytic code using tools such as Python, SAS, Stata, R.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Lead and manage a team of revenue cycle and/or eligibility specialists.
Serve as the primary subject matter expert for insurance eligibility verification and billing requirements.
Oversee day-to-day revenue cycle operations, including patient billing support and claim resolution.
Midi Health is focused on scaling billing operations. They have a fast-paced, growth-focused environment that supports teamwork and continuous improvement.
Interpret and apply CMS, Medicare, Medicaid, and AMA policies to define claims editing logic.
Analyze claims and edit performance data to confirm accuracy and prioritize enhancements.
Monitor regulatory updates and coding changes to keep edits current and compliant.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They use an AI-powered platform with expertise across the payment continuum, serving over 85 health plans and 270 million lives.