Pricing Transparency Manager - AllPayor System
Job Description
Manages assigned clients and acts as a liaison between MCAnalyTXs and its customers through a variety of communication methods.
+ Answers direct client calls regarding use and operation of the AllPayor system. + Organizes, investigates and resolves issues in a timely and effective manner. + Conducts system training, additional/individual training sessions, module specific tutorials, and product functionality training as needed. + Holds bi-weekly/monthly calls with new clients. + Review variety of insurance contracts to gain a thorough understanding of payment methodologies. + Enter insurance contract payment terms and methodologies into the AllPayor system through data entry or an automated upload process. + Analyze various reports to verify accuracy of insurance reimbursement calculations. + Support and maintain the price estimation module for assigned clients. + Performs initial system build of pricing transparency module for new clients including: set up of pricing information, coding information, and system tables. + Provides ongoing training and support for system maintenance and resolution of issues.
Requirements
Knowledge/Experience
+ Minimum 3 years’ experience in operational setting, preferably in managed care or hospital and/or physician patient accounts. + Experience working with DRG, ICD-9/10, CPT and/or HCPCS coding systems. + Knowledge of insurance medical forms (including UB04 and CMS1500). + Computer proficiency including experience with Microsoft Excel. + Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form. + Ability to calculate rates using a variety of modeling methods.Personal Competencies
+ Must be self-motivated, confident, and able to work efficiently and independently, with minimal supervision, in an offsite professional medical services environment. + Excellent interpersonal and communication skills, strong team player, and commitment to company values. + Commitment to thoroughness, accuracy, and attention to detail when accomplishing tasks.Requirements
Knowledge/Experience
+ Minimum 3 years’ experience in operational setting, preferably in managed care or hospital and/or physician-patient accounts. + Experience working with DRG, ICD-9/10, CPT and/or HCPCS coding systems. + Knowledge of insurance medical forms (including UB04 and CMS1500). + Computer proficiency including experience with Microsoft Excel. + Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form. + Ability to calculate rates using a variety of modeling methods.For more information and to apply, please send us your résumé along with any pertinent recommendations.
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