Bryan Health - Lincoln, NE
posted 4 months ago
The Senior Analyst-Contract Compliance/Revenue Integrity Lead at Bryan Health plays a crucial role in ensuring that payer contracts are adhered to and that revenue realization is maximized. This position involves providing in-depth analysis and expertise in compliant reimbursement to assess the performance of contracts for facilities and providers. The analyst will support the development and implementation of initiatives aimed at enhancing contract compliance analysis, which is essential for achieving financial goals. The role requires collaboration with the Managed Care department to recommend revisions to underperforming contracts, ensuring that all aspects of contract compliance are monitored and enforced effectively. In this position, the analyst will act as a subject-matter expert, assisting the Revenue Integrity team with various tasks, including charge master setup, auditing charging practices, and understanding payer policies. The analyst will also lead efforts to address denials, ensuring that all options are explored before writing off any denial. This includes setting up teams to work with operations to identify and rectify the root causes of denials, thereby promoting denial avoidance strategies. The Senior Analyst will prepare complex financial reimbursement analyses and models, identifying discrepancies and trends that inform contract compliance efforts. They will present findings to leadership and other stakeholders, facilitating strategic planning activities related to contract compliance. Additionally, the analyst will maintain knowledge of industry trends and regulatory requirements, ensuring that the Revenue Integrity team remains compliant with all relevant guidelines. This role is integral to promoting effective communication between various departments, including Revenue Cycle, Managed Care, and Finance, to expedite problem resolution and enhance revenue realization.