We are seeking a dynamic and tech-savvy Client Support Analyst to join our team. In this role, you will play a crucial part in managing and optimizing private insurance and government contracts. If you’re passionate about precision, analytics, and using cutting-edge tools, this is your chance to make an impact in a forward-thinking environment.
Responsibilities
Contract Review and Analysis
- Dive into the world of contracts, leveraging Microsoft Excel, Microsoft Access, and our contract management system.
- Ensure accuracy and quality by meticulously collecting, reviewing, and loading contract rates and terms into our Contract PRO System (CPRO).
- Verify and validate contract setups, documenting any discrepancies or challenges that may arise.
Contract Expertise
- Take charge of specific client renewals and lead as a contract analyst for new implementations.
- Become a subject matter expert in contract loading and validation, supporting project delivery.
- Attending meetings, project calls, and providing on-site client sign-off training.
Procedure Adherence
- Follow departmental procedures diligently, including completion of the Contract Matrix for each contract load.
- Keep track of production and update status information regularly.
Research and Documentation
- Independently research reimbursement methodologies and guidelines from various sources, including insurance companies and government agencies.
Software Enhancement
- Report and document software defects and necessary enhancements for new contract setups.
- Utilize our development request tracking system for efficient communication.
Client Communication
- Engage with clients to address contract setup queries or issues through email and phone.
- Offer routine assistance to Account Managers, ensuring smooth contract interpretation and validation.
Validation and Accuracy
- Conduct validation for contracts, utilizing advanced accuracy assessment techniques.
- Deliver high-quality work with precision and timeliness.
- Work on implementing contract solutions to reduce variances and document issues impacting accurate contract reimbursement.
Reporting
- Update weekly production units and provide regular updates to the Senior VP – Operations regarding individual contract loads, validations, and signoffs.
- Highlight critical issues or delays that may affect project timelines to the Client Support Supervisor and the PMO Project Leader and Senior VP – Operations.
Compliance
- Adhere to all corporate policies, procedures, and HIPAA policies and requirements.
Qualifications & Requirements
- Minimum of 2 years of related experience and/or training, or an equivalent combination of both
- Associate degree required; Bachelor’s degree, Advanced degree (MBA or MHA) preferred.
- Proficiency in contract loading, validation, and variance analysis.
- Ability to navigate and interpret insurance contracts.
- Strong research and analytical skills to address calculation issues and data-related variances.
- Demonstrate strong written communication skills in reports, business correspondence, internal communication, and client interactions.
- Ability to read, analyze, and interpret issues arising from data, software, or client interactions.
- Possess strong analytical skills and a solid understanding of healthcare reimbursement.
- Proficiency with Windows operating systems and Microsoft Office Professional software, including Outlook, Word, Excel, and Access.
- Maintain strict confidentiality of Protected Health Information (PHI) in accordance with HIPAA regulations.
EEO Statement
PMMC is an equal opportunity employer. We provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, veteran status, marital or citizenship status or any other status protected by applicable federal, state, or local law.