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Contracts Analyst - CDM
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Full-time
- The Senior Contract Analyst, CDM will support Prime Healthcare’s Contract Analytics and Revenue Integrity functions.
- The Senior Contract Analyst, CDM will also collaborate with other stakeholders and process owners to ensure that the contract analytics are scaled to support other operations such as Patient Access, CDM, RIT, HIM, Coding, PFS and Denial Management.
- The Senior Contract Analyst, CDM will set up and maintain the contract matrix and rate levels for all hospitals, support the implementation & maintenance of the Contract Management Tool, oversee the implementation & maintenance of the internal expected reimbursement tool and collaborate with the patient access department to optimize the front-end collections workflow.
- The Senior Contract Analyst, CDM will ensure compliance with CMS Price Transparency Rule of posting hospital’s contracted reimbursement rates.
- Experience working with payers including Medicare, Medicaid, and commercial insurance
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