Managed Care Analyst - Hybrid

				Responsibilities:

Responsible for maintaining and updating EPIC as it relates to payor contracts rates and language.  Be the Subject Matter Expert (SME) for EPIC contract builds.

Knowledge of payor reimbursement methodologies, policies, particularly as they impact claim payment and administrative functions. 

Troubleshoot contractual issues in EPIC as it relates to incorrect claims processing. Submit Sherlock tickets requesting assistance from EPIC support to correct issues.

Update the internal departments as to the accuracy of EPIC contracts/builds. Routinely review report for inconsistencies and variances.

Engage external payer colleagues to collaborate to resolve inconsistencies, variances, also to confirm payor payment policy guidelines.
			

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Cooper University Health Care

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