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