Analyst – Managed Care Reimbursement
Job Description:
• Perform a wide range of complex managed care analytical and operational functions
• Perform office procedures in support of managers
• Responsible for managed care financial analysis
• Assist with contract negotiation processes as needed
• Make recommendations to the Managed Care negotiators regarding terms of the contract
• Act as liaison between contract management system administrators, Revenue Cycle, and Managed Care negotiators for resolution and feedback of related items
• Work with managed care payors to resolve claims and related issues in order to enhance managed care contract performance
Requirements:
• High School Diploma or GED
• Four (4) years of related managed care contracting and/or billing/collection experience in a hospital and/or managed care payor setting
• Knowledge of Microsoft Excel and other spreadsheet systems
• Knowledge of Patient Accounting Systems
• Knowledge in Managed Care or similar reimbursement area
• Knowledge of SQL programs
• Understanding of billing practices, specifically revenue codes, CDM codes, and ICD-9 codes
• Excellent organizational and communication skills
• Knowledge of contract negotiation process
• Ability to apply mathematical and analytical skills
Benefits:
• Health insurance
• 401(k)
• Flexible working hours
• Paid time off
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• Perform a wide range of complex managed care analytical and operational functions
• Perform office procedures in support of managers
• Responsible for managed care financial analysis
• Assist with contract negotiation processes as needed
• Make recommendations to the Managed Care negotiators regarding terms of the contract
• Act as liaison between contract management system administrators, Revenue Cycle, and Managed Care negotiators for resolution and feedback of related items
• Work with managed care payors to resolve claims and related issues in order to enhance managed care contract performance
Requirements:
• High School Diploma or GED
• Four (4) years of related managed care contracting and/or billing/collection experience in a hospital and/or managed care payor setting
• Knowledge of Microsoft Excel and other spreadsheet systems
• Knowledge of Patient Accounting Systems
• Knowledge in Managed Care or similar reimbursement area
• Knowledge of SQL programs
• Understanding of billing practices, specifically revenue codes, CDM codes, and ICD-9 codes
• Excellent organizational and communication skills
• Knowledge of contract negotiation process
• Ability to apply mathematical and analytical skills
Benefits:
• Health insurance
• 401(k)
• Flexible working hours
• Paid time off
Apply tot his job
Apply To this Job