Contract Review Analyst

Lincare Holdings; Largo (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Lincare Holdings is seeking a detail-oriented specialist to review payor contracts and obligations, track payor fee schedule changes, and monitor posted policy updates for various payors. This role requires effective communication with multiple departments to ensure timely updates.

You will collaborate with the Managed Care Contract Administrators, Payor and Price Table Team, and other departments to ensure guidelines are updated promptly and accurately across all systems.

Qualifications

• Knowledge of the medical field preferred.
• Basic computer skills including standard software.
• Clear written and oral communication abilities.
• Ability to write reports and procedures.
• Capable of multitasking and coordinating with teams.

Responsibilities

• 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.
• Answers payor policy questions accordingly.
• Assists in identifying payor changes that need to be addressed.
• Communicates with the payor regarding policy information.

Skills

Medical knowledge

Basic computer skills

Communication skills

Report writing

Multitasking

Education

High School Diploma

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