Epic Contract Analyst

Intermountain Health

4d • $34 - $54 • Remote

About The Position

Implements new payer contracts and contract changes as directed. Cultivates and maintains payer relationships as well as internal customer relationships. The analyst develops and maintains departmental resources and tools and assists with payer payment management and reporting.
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington.
This position is fully remote with some annual on-site team meetings when financials allow.

Requirements

• Demonstrated experience working in healthcare or managed care setting with a specific background in complex managed care and government contract modeling, building and maintenance for providers including health systems, physicians, hospital organizations and other ancillary facilities.
• Ability to obtain Epic Resolute Hospital and Professional Billing Expected Reimbursement Contract Certifications within three months of hire date and maintain while in this role.
• Demonstrated patient accounting experience
• Demonstrated extensive experience with healthcare reimbursement methodologies (managed care and government payers).
• Accountability
• Learning Quickly
• Emerging Technologies
• Workflow Design
• Communication
• Professional Etiquette
• Commercial Insurance
• Government Programs
• Teamwork
• Work Collaboratively

Nice To Haves

• Revenue Cycle knowledge
• medical billing terms
• Epic skills
• Hospital Resolute Epic Contract Build Cert.
• Bachelor's degree in finance, business or related field from an accredited university.
• Epic Resolute Hospital and Professional Billing Expected Reimbursement Contracts certification and experience.
• Experience with revenue cycle, patient accounting, third party payer contracting and/or payer contract modeling system.

Responsibilities

• Interprets payer contract terms and payment methodologies for the creation and ongoing maintenance and programming of Epic’s financial system and Contract Management tool to ensure accurate calculation of expected payments based on negotiated contract terms at the time of billing for professional, hospital and ancillary services.
• Supports contract negotiations through review of contract language, development of new payment models, modeling of proposed contract terms and rates, making recommendations as appropriate to department management.
• Interacts with internal and external parties regarding communication / questions about rates and terms, rate structure and development and reconciliation of contract provisions and disputes.
• Responsible for the ongoing, timely maintenance of professional, hospital and ancillary provider fee schedules.
• Audit payer claims to ensure accuracy of system build and compliance with contract terms, investigating systematic payment issues identified by department analyses or communicated by leadership.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level