Sr Pay/Provid Contract Analyst
Core
Analyzes payer issues impacting revenue cycle, investigates trends, and makes recommendations to improve revenue for the University of Rochester Medical Faculty Group.
Role type
Senior Payer Provider Contract Analyst
Builds
Revenue recovery strategies and payer relationship outcomes
Domain
Healthcare administration / Medical billing and reimbursement
Deliverable
dashboards & analysis
Required skills
Payer reimbursement methodologies, CMS and AMA CPT rules, contract terms interpretation, revenue cycle analysis, report interpretation, stakeholder communication
Preferred skills
Epic fluency, Tableau reporting, Microsoft Excel, prior authorization management, denials management, credentialing processes
Technologies
Epic, Tableau, Microsoft Office, Issue Trak
Responsibilities
Independently research and resolve payer issues including prior authorizations and denials management; Develop and communicate reports monitoring negotiated rate variances and recoveries; Facilitate meetings with payers, administrators, and providers to resolve complex revenue issues; Mentor junior analysts on projects and report design; Provide consultation on payer/financial developments for planning and control processes.
Seniority
Senior, hands-on IC with mentorship duties
