Revenue Cycle Analytics

4 weeks ago

Raleigh, United States Centauri Health Solutions Inc Full time

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500 list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.

Role Overview:

As part of the Revenue Cycle Analytics (RCA) department for Centauri Health Solutions, the Contract and Reimbursement Analyst primarily supports the RCA team in hospital pricing analytics.

Role Responsibilities:

* Ensures latest contract rates and terms are available. * Assures plan code affiliations to contracts are correct. * Creates price uploads for clients upon approval of models. * Assists with room rate and lesser-of analyses. * Works with strategic pricing analysts to compare models from one year to the next, ensuring client data integrity and consistency. * Supplements the work of others in the creation and implementation of QA programs. * Communicates with clients as needed to confirm contract rates/terms/intentions. * Understand and agree to role-specific information security access and responsibilities * Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies * Read, understand and agree to security policies and complete all annual security and compliance training

Role Requirements:

* 1-3 years of Hospital Managed Care contracting experience * Strong knowledge of reimbursement methodologies (hospital, physician, ancillary, health plan, etc.). * Strong knowledge of hospital medical coding (DRGs, CPTs, Revenue Codes, Charge Codes, ICDs) * Good knowledge of fundamental analytical concepts, practices, and procedures. * Strong contract interpretation/analysis skills. * Strong Microsoft Office (Excel, Word, Outlook, Visio, Teams). * Excellent judgment * Financial acumen * Bachelor's degree or equivalent experience

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company's plan.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.

This position is bonus eligible in accordance with the terms of the Company's plan.

Other details

* Pay Type Salary * Min Hiring Rate $53,000.00 * Max Hiring Rate $72,100.00

Apply Now

* North Carolina, USA

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