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
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