CorroHealth

Associate Consultant, Zero Balance

CorroHealth

part-time

Posted on:

Location Type: Remote

Location: United States

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About the role

  • Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails
  • Compile, QA, and independently manage client processes from start to finish, such as provider relation escalations, bulk issues, regular reports, and invoices
  • Manage internal staffing and project needs, including answering questions from other team members on assigned client and monitoring project profitability
  • Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities, such as reimbursement guidelines and healthcare legislation
  • Create and update project plans, including outlining potential risk areas of a hospital-payer contract based on reimbursement structure and how to manually identify within the data
  • Review and summarize pricing documents based on hospital contracts to calculate expected payments, including Medicaid, percentage of charge, per diems, Medicare IPPS, MSDRG, outlier and/or stoploss, implants, drugs, and other reimbursement models
  • Make thorough client observations and recommendations after completing a project audit regarding underpayment exposure, contract risk, and other potential issues
  • Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing (e.g. rebill)
  • Escalate accounts to insurance provider relations for resolution and payment, including corresponding appropriately with provider relations teams, tracking progress of issues and ensuring that deadlines are met
  • Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments
  • Contribute meeting content to team meetings, AC biweekly meetings, and internal project related meetings
  • Help create and implement process improvements and trainings to protect future revenue
  • Understands and implements best practices for internal processes, communication, and documentation

Requirements

  • A minimum of 3 years of experience in areas of research and analysis
  • A minimum of 3 years of verifiable work history
  • A minimum of 3 years of experience with managed care contracts and hospital reimbursement
  • A minimum of 2 years of experience working with clients or equivalent
  • Must have achieved High School Diploma or GED
  • 3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports
  • Demonstrated problem solving and critical thinking skills
  • Demonstrated ability to meet project deadlines
  • Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations.
  • Diligent and strong attention to detail
Benefits
  • Health insurance
  • Professional development opportunities
  • Flexible work arrangements
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
research and analysismanaged care contractshospital reimbursementproject managementpricing analysisdata manipulationprocess improvementauditproblem solvingcritical thinking
Soft Skills
client relationship managementcommunicationattention to detailtime managementteam collaborationpresentation skillsorganizational skillsindependencediligencemeeting facilitation
Certifications
High School DiplomaGED