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This Role:

Perform day to day contract implementation duties. The Senior Contract Analyst is responsible for modeling possible contract seniors for our clients to review. In this role, you will be heavily involved in negotiating healthcare group contracts with multiple networks as well as ensuring any new contracts are implemented correctly. Communicating closely with the Contract Manager and Director.

Key Responsibilities:

+ Analyze and model contracts to determine the effect on revenue projections

+ Review audits to ensure accurate contract implementation and subsequent claims processing

+ Obtain current contracted rates from clients and other sources

+ Identify existing contracts that are up for renegotiation

+ Maintain systems and other contracting documents with participating status, rates and information

+ pertaining to the process of claim payments

+ Update participating provider lists

+ Troubleshoot and problem solve contract implementation issues

+ Review contracts and applicable provider information based on contract language; if any configuration is

+ needed to accommodate a particular contract, notify the appropriate teams

+ Review and research payment variance reports

+ Obtain information requested by management

+ Interact directly with clients via e-mail or phone

+ Attend conference calls with clients and payers as requested

+ Collaborate with Managers to resolve contracting issues

Qualifications:

To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.

Required:

+ High School Diploma or equivalent combination of education and experience required.

+ Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

+ Prior third-party billing experience required

+ Ability to comprehend and communicate contract information

+ Ability to create tables or charts to display contract fees and proposals

+ Ability to effectively present information in one-on-one and small group situations to clients and other  employees of the organization

+ Ability to resolve payment issues with insurance carriers

+ Ability to write routine reports and correspondence

+ Ability to communicate effectively verbally and in writing

Preferred:

+ Prior contracting experience preferred .

Benefits at LogixHealth:

We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.

About LogixHealth:

At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

To learn more about us, visit our website https://www.logixhealth.com/.

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