Contract Review Analyst
Lincare
Summary
This employee reviews payor contracts and information associated to contractual obligations including payor fee schedule changes and posted policy updates for various payors. They will work with Managed Care Contract Administrators, Payor and Price Table Team, and other required departments to ensure that policy guidelines and changes are updated accordingly and timely.
Job description
JOB FUNCTIONS
- Contacts payors at times to discuss policies and/or changes
- Documents payor requirements according to their policies as well as payor changes and relays changes to the appropriate departments
- Pursues, maintains, and communicates medical guideline changes
- Helps facilitate interoffice communication on payor updates and changes
- Works with the Payor and Price Table team to ensure that policy changes are updated accordingly
- Works assigned payors accordingly and timely
- Available to assist other members on the team with questions and/or needs
- Answers payor policy questions accordingly
- Assists in identifying payor changes that need to be addressed
- Works with BIS, payor, and price table group to ensure that payor policies are followed and updated accordingly to payor guidelines once changes have been identified
- Communicates with the payor regarding policy information
- Assists with the delivery directives from Corporate office as they apply to policy changes and/or updates
Qualifications
Education
- High School Diploma or General Education Degree (GED) Required
Knowledge, Skills, and Abilities
- Knowledge of the medical field preferred
- Basic computer skills
- Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
- Write reports, business correspondence, and procedure manuals
- Effectively present information and respond to questions from groups of managers, clients, customers, and the general public
- Telephone etiquette alongside adequate oral and written communication skills
- Shows effective multitasking skills
Requirements
- High School Diploma or General Education Degree (GED) Required
- Basic computer skills
- Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
- Write reports, business correspondence, and procedure manuals
- Effectively present information and respond to questions from groups of managers, clients, customers, and the general public
- Telephone etiquette alongside adequate oral and written communication skills
- Shows effective multitasking skills
- Knowledge of the medical field preferred
Company overview
Lincare Holdings Inc. is a leading respiratory healthcare company and the largest distributor of home respiratory care equipment in the United States. Headquartered in Clearwater, Florida, the company serves approximately 1.8 million patients nationwide through its extensive network of over 700 locations across 48 states. As a subsidiary of Linde plc, Lincare specializes in providing comprehensive home respiratory therapy services and durable medical equipment, including oxygen therapy systems, nebulizers, sleep apnea products, ventilators, enteral therapy, and mobility aids. The company employs approximately 11,000 dedicated professionals, including 1,300 licensed clinicians who deliver personalized care directly to patients' homes. Lincare operates through a family of businesses that offer specialized services ranging from pediatric respiratory care to digital communication devices for patients with disabilities. With a strong focus on patient education and relationship-building, Lincare has established itself as a trusted provider in the home healthcare industry, transforming how respiratory care is delivered to improve patients' quality of life and overall well-being.