Contract Review Analyst

Lincare Holdings; Florida; On-site; USD 42,000 - 64,000; Full time

Job summary

Lincare Holdings in Florida seeks a Payor Contract Administrator who reviews payor contracts and related information, tracks fee schedule changes, and ensures policy updates are reflected across departments. You will collaborate with Managed Care Contract Administrators and the Payor and Price Table Team to keep current guidelines aligned with payor requirements.

This role emphasizes timely communication, attention to detail, and the ability to translate policy changes into actionable steps for

Qualifications

• High School Diploma or GED required.
• Knowledge of the medical field preferred.
• Basic computer skills and ability to write reports.
• Strong written and verbal communication skills.

Responsibilities

• Contacts payors to discuss policies or changes.
• Documents payor requirements and relays changes to departments.
• Maintains awareness of medical guideline changes.
• Facilitates interoffice communication on payor updates.
• Ensures policy changes are updated across teams.
• Supports delivery directives from Corporate on policy updates.

Skills

Payor contracts

Medical knowledge

Written communication

Multitasking

Telephone etiquette

Interdepartmental comms

Education

High School Diploma or GED

Job description

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

JOB FUNCTIONS

• 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 theappropriate 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 accordinglyto 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

Education

• High SchoolDiplomaor General Education Degree (GED) Required

Knowledge, Skills, and Abilities

• Knowledge of the medical field preferred
• Basic computer skills
• Positive and cooperative attitude in working and communicating with individuals at all levels of theorganization
• Write reports, business correspondence, and procedure manuals
• Effectively present information and respond to questions from groups of managers, clients,
  customers, and the general public
• Telephone etiquette alongside adequate oral and written communication skills
• Shows effective multitasking skills