Tenet Healthcare

Terms & Conditions Analyst

Tenet Healthcare

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $23 - $34 per hour

Job Level

Junior

About the role

  • Analyzes the Contract Terms and Conditions in a timely manner and makes recommendations for new contract loads, formulates, and implements amendments and changes, and rollover contracts as part of the client audit, deviating from established procedures as necessary.
  • Regularly exercises discretion in analyzing and identifying issues associated with reprice impact reports after communication log issue have been corrected and re-priced. Formulates and implements solutions to identified issues and is empowered to make exceptions when required to move issues to resolution.
  • Independently audits and verifies post-contract changes.
  • Collaborates with Client Managed Care and Med Assets Account Rep to ensure contract profiles are pricing accurately, per contract language.
  • Reviews internal requests for assistance and executes work list/queries for newly opened communication logs. Documents affected accounts as required.
  • Identifies alternative opportunities in contract interpretation and revenue routing through the analysis of issues and, acting as a subject matter expert, provides alternative recommendations to management and staff. Activation of plan ID’s in mainframe system and MedAssets complying with NIC standards. Request approvals from Managed Care for NCCI edits if stated in contract and forward to the appropriate parties for loading.
  • Communicates with appropriate leadership to ensure discrepancies are resolved prior to close of month end.

Requirements

  • Minimum 1 year contract interpretation experience required
  • Bachelor or Associate Degree preferred
  • 3-5 years of relevant hospital business office experience preferred
  • Must be able to implement a systematic, self motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plans
Benefits
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Applicant Tracking System Keywords

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

Hard Skills & Tools
contract interpretationauditingproblem solvingdata analysisreprice impact analysiscontract amendmentsrevenue routingmainframe system activationNCCI editscommunication log management
Soft Skills
discretioncollaborationself-motivationresource optimizationissue resolutionrecommendation formulationindependenceleadership communicationtimelinesscoordination