Managed Care Analyst


PMMC


Posted Under: Charlotte, North Carolina jobs in Professions; Professions jobs in zipcode 28201
Posted On: 2021-02-24 00:00:00

PMMC is a leading provider of revenue cycle software and services to healthcare systems. These products aid in all aspects of the revenue cycle management and ultimately help hospitals and physician groups find additional or missing cash, creating efficient workflow processes and strategies that enable them to better serve their community.Over the last 30+ years PMMC has built a best in class reputation and is currently developing the next generation healthcare platform. We are looking for the industry's brightest innovators to be a part of our explosive growth.Summary: The CONTRACT ANALYST is responsible for reviewing, researching, interpreting, loading and analyzing private insurance and government contracts for assigned PMMC clients.--The CONTRACT ANALYST reports to the Sr. VP - Operations and works in conjunction with other teams and divisions within PMMC. The CONTRACT ANALYST works to ensure the contract loads are accurate and delivered on a timely basis according to pre-defined deadlines.Essential Duties and Responsibilities:The CONTRACT ANALYST is responsible for reviewing, researching, interpreting, loading and analyzing private insurance and government contracts using Microsoft Excel, Microsoft Access, and PMMC's contract management system.The CONTRACT ANALYST is responsible for collecting, reviewing and loading contract rates and terms into the PMMC Contract PRO System (CPRO), as well as validating the setups to ensure a particular level of Accuracy and Quality is achieved, and if not possible, documenting the reasons.*Must have hospital billing experience. Education/Experience:Bachelor's Degree is required. Must be proficient in Microsoft applications, including MS Excel and Word, with any MS Access experience being very helpful.