Talent.com
Lincare Holdings
Contract Review AnalystLincare Holdings • Largo, FL, United States
Contract Review Analyst

Contract Review Analyst

Lincare Holdings • Largo, FL, United States
1 day ago
Job type
  • Full-time
Job description

Payor Contract Review Specialist

This employee reviews payor contracts and information associated to contractual obligations including payor fee schedule changes and posted policy updates for various payors. They will work with Managed Care Contract Administrators, Payor and Price Table Team, and other required departments to ensure that policy guidelines and changes are updated accordingly 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 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
  • 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 accordingly to 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 School Diploma or 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 the organization
  • 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
Create a job alert for this search

Contract Review Analyst • Largo, FL, United States

Similar jobs

Contract Review Analyst

Lincare HoldingsLargo, FL, United States
Full-time

Payor Contract Review Specialist.This employee reviews payor contracts and information associated to contractual obligations including payor fee schedule changes and posted policy updates for vario... Show more

 • Promoted

Credit Analyst

ExperisClearwater Beach, FL, United States
Temporary

Pay range: $20 - $21 /hr on W2.The Credit Processing Specialist plays a vital role in maintaining positive customer relationships and ensuring the financial health of the company.This role involves... Show more

 • Promoted

Revenue Management Analyst Sr - 143995

BayCareClearwater Beach, FL, United States
Full-time

Revenue Management Analyst Sr - 143995.At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network includes 16 community-based hospitals, a long-term acute care fa... Show more

 • Promoted

Senior Reimbursement Analyst- Cost Reporting - 143991

BayCareClearwater Beach, FL, United States
Full-time

Senior Reimbursement Analyst- Cost Reporting.At BayCare, we are proud to be one of the largest employers in the Tampa Bay area.Our network consists of 16 community-based hospitals, a long-term acut... Show more

 • Promoted

Business Analyst - VR

Geographic Solutions IncPalm Harbor, FL, United States
Full-time

Job Summary: This role will formulate and define system scopes and objectives based on both user needs and a thorough understanding of business systems and industry requirements.Candidate will have... Show more

 • Promoted

Loan Processor

NewcoastOldsmar, FL, United States
Full-time

OVERVIEW: The Loan Processor is responsible for providing customers a service which includes the preparation of loan documents, loan packages for banks and copies of all executed documents.The Loan... Show more

 • Promoted

Compliance Analyst, Agent Conduct

AmeriLifeClearwater Beach, FL, United States
Full-time

AmeriLife Job OpportunityFor over 50 years, AmeriLife has been a leader in the development, marketing, and distribution of annuity, life, and health insurance solutions for those planning for and l... Show more

 • Promoted

Compliance Analyst, Ad Approval

AmeriLifeClearwater Beach, FL, United States
Full-time

Job TitleExplore how you can contribute at AmeriLife.For over 50 years, AmeriLife has been a leader in the development, marketing and distribution of annuity, life and health insurance solutions fo... Show more

 • Promoted

Contracting Specialist

AmeriLifeClearwater Beach, FL, United States
Full-time

AmeriLife's strength is its mission: to offer insurance and retirement solutions to help people live longer, healthier lives.By putting its mission into practice, AmeriLife has become recognized as... Show more

 • Promoted

Global Trade Compliance Operations Analyst

TDSYNNEXClearwater Beach, FL, United States
Full-time

Regulatory Compliance Analyst (Hybrid/Remote).About TD SYNNEX TD SYNNEX is a Fortune 100 technology distributor and solutions aggregator, connecting the world's leading technology vendors with a gl... Show more

 • Promoted

Billing Review Specialist

LincareLargo, FL, United States
Full-time

Lincare - - Responsibilities:Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts; Verifies insurance benefits and eligibility for patients; Communicates w... Show more

 • Promoted

Revenue Operations Analyst, GTM & Central Planning (Remote)

KnowBe4Clearwater Beach, FL, United States
Remote
Temporary

Revenue Operations Analyst, GTM & Central Planning (Remote).KnowBe4 empowers the modern workforce to make smarter security decisions every day.Trusted by more than 70,000 organizations worldwide, K... Show more