Note: The job is a remote job and is open to candidates in USA. Intermountain Health is seeking an Epic Contract Analyst to support payer contract implementation and maintenance. The role manages payer and internal relationships, develops departmental tools, supports payment management and reporting, and ensures accurate reimbursement calculations through Epic systems.
Responsibilities
- Interprets payer contract terms and payment methodologies for the creation and ongoing maintenance and programming of Epic’s financial system and Contract Management tool to ensure accurate calculation of expected payments based on negotiated contract terms at the time of billing for professional, hospital and ancillary services
- Supports contract negotiations through review of contract language, development of new payment models, modeling of proposed contract terms and rates, making recommendations as appropriate to department management
- Interacts with internal and external parties regarding communication / questions about rates and terms, rate structure and development and reconciliation of contract provisions and disputes
- Responsible for the ongoing, timely maintenance of professional, hospital and ancillary provider fee schedules
- Audit payer claims to ensure accuracy of system build and compliance with contract terms, investigating systematic payment issues identified by department analyses or communicated by leadership
Skills
- * Demonstrated experience working in healthcare or managed care setting with a specific background in complex managed care and government contract modeling, building and maintenance for providers including health systems, physicians, hospital organizations and other ancillary facilities
- * Ability to obtain Epic Resolute Hospital and Professional Billing Expected Reimbursement Contract Certifications within three months of hire date and maintain while in this role
- * Demonstrated patient accounting experience
- * Demonstrated extensive experience with healthcare reimbursement methodologies (managed care and government payers)
- * Ongoing need for employee to see and read information, labels, monitors, documents and be able to assess customer needs
- * Frequent interactions with customers that require employee to communicate as well as understand spoken information, needs, and issues quickly and accurately
- * Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use
- * Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment
- * Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items
- * Prefer candidates with Revenue Cycle knowledge, medical billing terms, Epic skills, Hospital Resolute Epic Contract Build Cert
- * Bachelor's degree in finance, business or related field from an accredited university. Education is verified
- * Epic Resolute Hospital and Professional Billing Expected Reimbursement Contracts certification and experience
- * Experience with revenue cycle, patient accounting, third party payer contracting and/or payer contract modeling system
Benefits
- This position is fully remote with some annual on-site team meetings when financials allow.
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