Client Support Analyst - PMMC : Job Details

Job Title: Client Support Analyst

Reports To: Director – Revenue Cycle Operations

Department: Account Management

About The Team

Our mission at PMMC is to continuously improve the financial performance of healthcare organizations so that they have more resources to devote to patient care. PMMC provides revenue cycle management tools to healthcare delivery systems, acute care hospitals, critical access hospitals, academic physician organizations and multi-specialty physician groups. Helping to find additional cash and creating efficient workflow processes allows our clients to improve margins and continue to effectively serve their communities.

Due to the changing healthcare landscape for both providers and consumers, there is more focus on the revenue cycle today than ever before. PMMC is committed to providing healthcare organizations with not only the latest technology, but also the necessary strategy to guide them through the challenges of changing reimbursement, price transparency, and population health management.

About The Role

We are on the lookout for a dynamic and tech-savvy Client Support Analyst to join our team. As a Client Support Analyst, you will play a crucial role 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.
• Collaborate with internal resources when needed to ensure accurate contract entry.

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 during the implementation process, addressing contract setup queries or issues through email and phone.
• Offer routine assistance to Account Managers and Senior VP - Operations, 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 (internships included).
• 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, applying contract setup knowledge to accurately load commercial and government contracts.
• Strong research and analytical skills to address calculation issues and data-related variances.
• Skill in computing accurate billing and reimbursement scenarios based on payer and government regulations.
• 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 and coding.
• Proficiency with Windows operating systems and Microsoft Office Professional software, including Outlook, Word, Excel, and Access.
• Promote a positive and professional image in alignment with PMMC policy manual.
• Maintain strict confidentiality of Protected Health Information (PHI) in accordance with HIPAA regulations.

Core Values

Join our team at PMMC. We Grow or Die as individuals and as a collective force, inspiring one another to reach new heights. We Love to Win, not just for ourselves but for our entire team. We constantly Innovate, finding fresh solutions to complex challenges. We pride ourselves on being Productive & Efficient while always striving to Do the Right Thing in all that we do.

Benefits

Discover a wealth of benefits at PMMC, ranging from comprehensive healthcare plans to continuous learning opportunities, ensuring your well-being and professional development. Enjoy a supportive work environment that values your contributions with competitive compensation packages, flexible PTO and perks designed to enhance your overall work-life balance.

#TeamPMMC

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.