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CoxHealth Reimbursement Analyst

1 month ago


Springfield, United States CoxHealth Full time

Summary

  • Best in Class Work Environment
    • 5x Modern Healthcare Best Places to work
    • America’s Greatest Workplaces 2023 – Newsweek
    • Best Employers for New Grads 2023- Forbes
    • Greatest Workplace for Women 2023 - Newsweek
  • Benefits
    • Robust, fully customizable benefits package including Medical/Vision/Dental and more
      • No cost eCare visits
      • Employer-provided mental health services for employees and eligible family members
    • Retirement with employer match 
    • Tuition discounts and reimbursement available for continuing your education
    • Free and convenient parking
    • CoxHealth Fitness Center and Child Care discounts
    • Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
  • Job Summary
    • The CoxHealth Network finance team is responsible for various functions and support related to all CoxHealth entity provider reimbursement process evaluation, financial reporting and analysis. The reimbursement analyst must have a working knowledge of managed care, governmental and other third party payer reimbursement and payment terms. This position serves as primary back-up to Contract Finance Director, completing complex contract modeling and analysis.  They must possess strong analytical skills with the ability to identify and trouble-shoot inefficiencies and issues, research and make recommendations for improvement, facilitate changes, and be able to communicate effectively with stakeholders. The primary responsibilities of this position include, but are not limited to, contract fee schedule analysis, construction of reimbursement scenarios, compiling and maintaining financial data used in third party payer agreements, contract modeling, contract review and all CoxHealth Network accounts payable and accounts receivable
  • Job Requirements
    • Education
      • Required: Bachelor’s Degree in Finance, Business, Healthcare, or a related field or 8 years related experience
    • Experience
      • Preferred: Demonstrated experience with healthcare or insurance financial analysis.
    • Skills
      • Strong interpersonal and communication skills with ability to effectively present and interact with all levels of the organization 
      • Ability to work collaboratively as either a facilitator or participant on projects that involve multiple stakeholders, while promoting positive and effective working relations
      • Ability to inform and educate others, including training of new staff, on procedures and concepts
      • Ability to write effective summary level documentation for clear and concise communication of data analyzed
      • Ability to create, implement and optimize stakeholder reporting
      • Highly proficient in all aspects of MS Office Highly proficient in Excel with ability to create, modify and trouble-shoot spreadsheets for data analytics.
      •  Strong analytical skills to be able to analyze complex data and all type of provider reimbursement.
      • Highly productive in a self-directed manner with ability to coordinate projects, prioritize tasks, track status efficiently, and demonstrate defensible judgement in making independent decisions
      • Effective time management and prioritization skills to permit handling of a large workload across multiple projects and multiple departments
    • Licensure/Certification/Registration
      • N/A