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Contract QA Specialist

Contract QA Specialist

FinThrivePlano, TX, United States
1 day ago
Job type
  • Full-time
Job description

About the Role

Impact you will make

As a Contract QA Specialist, you'll have a front-row seat to the industry's transformation from fee-for-service to value-based care. Apply your revenue cycle expertise to this multi-functional role by auditing contract profiles and working production support cases in our best-in-class Contract Management system. The right individual must be accountable and focused while working on a united team with fellow colleagues. He / She must stay nimble and problem-solve under deadlines to deliver the best result to our clients, the first time. The Contract QA Specialist must be able to adapt quickly to an evolving healthcare and technological environment, and to deliver precision, quality and excellence to the nth degree.

What you will do

  • Perform research and analyze clients' production contracts to ensure accuracy of reimbursement
  • Review contract profiles in the audit environment to validate accuracy of rates loaded
  • Thoroughly review account examples to confirm expected reimbursement is correct
  • Train and mentor new team members and Contract Analysts
  • Display initiative to test and validate complicated reimbursement terms and troubleshoot pricing discrepancies with clients and colleagues when needed
  • Identify, document, and communicate best practices within the Contract Management COE
  • Assist with planning short-term business objectives
  • Provide expert advice to management and serve as back-up for manager when needed
  • Communicate with colleagues and customers in a clear and professional manner via phone, email, customer service ticketing systems, and in person
  • Meet or exceed all productivity targets and deadlines for case completion
  • Continue to build upon and grow close client relationships
  • Work independently within assigned tasks to ensure client success
  • Maintain proficiency in application functionality and stay current with industry knowledge
  • Maintain deep knowledge of several Government and Commercial payer reimbursement methodologies

What you will bring

  • High School diploma or GED
  • 2+ years cumulative experience as a Contract Analyst
  • 2+ years previous customer service experience
  • 2+ years previous healthcare revenue cycle experience
  • Subject matter expert within the FinThrive applications who assists with training and mentoring team members
  • Proven capability of working independently to meet goals and deadlines
  • Able to pose creative solutions to complex problems
  • Highly numerical aptitude with excellent analytical skills and exceedingly detail-oriented
  • Ability to multitask and prioritize several projects at a time
  • Professional presentation and strong written / verbal communication, interpersonal, and relationship skills, combined with a customer service attitude
  • Demonstrated ability to work in a team environment that requires quick turnaround and quality output
  • Proficiency in Microsoft Office suite

    • What we would like to see

  • Bachelor's degree in related field
  • Previous experience as a Senior Contract Analyst
  • 4+ years previous customer service experience
  • 3+ years previous healthcare revenue cycle experience
  • Basic SQL Query experience

    • About FinThrive

    FinThrive is advancing the healthcare economy.

    For the most recent information on FinThrive's vision for healthcare revenue management visit finthrive.com / why-finthrive.

    Award-winning Culture of Customer-centricity and Reliability

    At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https : / / finthrive.com / careers#culture.

    Our Perks and Benefits

    FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com / careers-benefits.

    FinThrive's Core Values and Expectations

  • Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
  • Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations

    • Physical Demands

    The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Statement of EEO

    FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process. FinThrive Privacy Notice for California Resident Job Candidates

    Know Your Rights

    Pay Transparency Notice

    FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.

    2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO

    finthrive.com | FinThrive Careers | FinThrive Benefits & Perks | Physical Demands

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