Function: The CBO Contracts and AR
Analyst position serves as the subject matter expert on the Contract Management
application and is responsible for the following functions that include but are
not limited to: Contract Management application maintenance of all CBO contract
profiles, new contracts, current contract updates and revisions and maintenance
of all CBO contract hardcopies. This position is also responsible for the
analysis of the visits/accounts potentially underpaid by Government and
Non-Government payors. The analyst will provide detailed review results to the
Patient Accounting management team as well as the staff in order to contest true
underpayments at a payer level and to manage denial resolution workflows.
and Collections Manager
Serves as a (SME) subject matter expert for the
Contract Management (CM) application functionalities and reporting capabilities.
Also responsible for the maintenance of all CBO contract profiles so that they
remain up to date at all times to ensure proper reimbursement expectations are tracked
and any payment deficiencies identified.
2. Utilizes the Contract Management
tool to review and analyze potential underpaid visits/services against payer
contract terms and conditions.
daily/weekly/monthly reporting to analyze and track data and provide feedback
to Management and Patient Accounting staff related to AR payment trends and
4. Documents visits/accounts
with attention to detail and thorough explanation as to the findings for the
difference in expected reimbursement.
5. Escalates any Contract
Management issues same day as identified and notifies Management team of
resolution, if applicable.
6. Completes and submits all
Contract Management support case requests to the vendor for contract profile
revisions, deletions or new data input and monitors the requests for timely and
accurate completion in Contract Management application
7. Collaborates with all
Imperial Health external offices if underpayments are related to charges and
8. If applicable, provides
training to Patient Accounting Representatives on how to identify underpayment
9. Responsible for adding new
codes to the Fee schedules and updating Charge Master files
GE EDI data and GE Tables:
Insurance Carrier/Group Tables and Transaction
Responsible for EDI Submission Management
(uploading/transmission of daily claims)
Monitor claims upload/transmission reporting
Add new referring physicians to provider table
and referral source table
Add new Employers, Guarantors, or Zip Codes to
GE as needed
duties as assigned