Current jobs related to Revenue Cycle Payer Relations Analyst - Coral Gables - University of Miami

  • Analyst, IT Business Analyst

    3 weeks ago

    Coral Gables, United States Bayview Asset Management Full time

    OverviewABOUT US: Founded in 1993, Bayview Asset Management is an investment management firm focused on investments in mortgage and consumer credit, including whole loans, asset-backed securities, mortgage servicing rights, and other credit-related assets. POSITION SUMMARY: The IT Business Analyst will be a crucial member of the IT Project Management Office...

  • Associate, IT Business Analyst

    3 weeks ago

    Coral Gables, United States Bayview Asset Management Full time

    OverviewABOUT US: Founded in 1993, Bayview Asset Management is an investment management firm focused on investments in mortgage and consumer credit, including whole loans, asset-backed securities, mortgage servicing rights, and other credit-related assets. POSITION SUMMARY: The IT Business Associate will be a crucial member of the IT Project Management...

  • Credit Analyst

    1 week ago

    Coral Gables, United States HR Ratings Full time

    HR Ratings, the leading Latin American credit rating agency and a SEC registered credit rating organization for corporates, financial institutions, and public finance ratings, is strongly expanding into the US market, with a focus on providing a differentiated rating service through its recently opened Miami, Florida office. HR Ratings is seeking highly...

  • Credit Analyst

    1 week ago

    Coral Gables, United States HR Ratings Full time

    HR Ratings, the leading Latin American credit rating agency and a SEC registered credit rating organization for corporates, financial institutions, and public finance ratings, is strongly expanding into the US market, with a focus on providing a differentiated rating service through its recently opened Miami, Florida office. HR Ratings is seeking highly...

  • Credit Analyst

    3 days ago

    coral gables, United States HR Ratings Full time

    HR Ratings, the leading Latin American credit rating agency and a SEC registered credit rating organization for corporates, financial institutions, and public finance ratings, is strongly expanding into the US market, with a focus on providing a differentiated rating service through its recently opened Miami, Florida office. HR Ratings is seeking highly...

  • Credit Analyst

    1 week ago

    coral gables, United States HR Ratings Full time

    HR Ratings, the leading Latin American credit rating agency and a SEC registered credit rating organization for corporates, financial institutions, and public finance ratings, is strongly expanding into the US market, with a focus on providing a differentiated rating service through its recently opened Miami, Florida office. HR Ratings is seeking highly...

  • Business Systems Analyst

    3 days ago

    Coral Gables, Florida, United States Quirch Foods Full time

    Business Analyst RoleAt Quirch Foods, we are seeking a skilled Business Analyst to join our team. As a Business Analyst, you will play a critical role in collaborating with product owners, developers, and testers to deliver high-quality software. Your primary responsibility will be to elicit and manage requirements from stakeholders, including non-technical...

  • Business Systems Analyst

    1 month ago

    Coral Gables, Florida, United States Quirch Foods Full time

    Business Analyst Job DescriptionWe are seeking a highly skilled Business Analyst to join our team at Quirch Foods. As a Business Analyst, you will play a critical role in ensuring the successful delivery of our software projects.Key Responsibilities:Collaborate with cross-functional teams to gather and document business requirementsDevelop and maintain user...

  • Data Analyst III

    2 weeks ago

    Coral Gables, Florida, United States The University of Miami Full time

    Job Title: Data Analyst IIIJoin the University of Miami as a Data Analyst III and contribute to the Department of Health Management and Policy's research endeavors. As a key member of the team, you will be responsible for conducting health economics, health services research, and health policy research.Key Responsibilities:Develop and implement research...

  • Compliance Analyst

    1 month ago

    Coral Gables, United States Amerant Bank Full time

    The Compliance Analyst is responsible for ensuring that all mortgage lending activities within the organization comply with federal, state, and local regulations. This role involves monitoring, analyzing, and reviewing the company’s mortgage operations to identify and address potential compliance issues, mitigate risks, and ensure adherence to applicable...

  • Senior Financial Analyst

    4 weeks ago

    Coral Gables, Florida, United States The University of Miami Full time

    Job SummaryWe are seeking a highly skilled Senior Financial Analyst to join our team at The University of Miami. As a key member of our finance department, you will be responsible for conducting in-depth financial analysis, preparing financial reports, and providing data-driven insights to support business decisions.Key ResponsibilitiesConduct financial...

  • Senior SOC Analyst

    4 weeks ago

    Coral Gables, United States Lakeview Loan Servicing Full time

    Overview The IT Security Team is looking for a highly skilled and experienced Senior Security Operations Center (SOC) Analyst to join our growing cybersecurity team. The Senior (SOC) Analyst will be the first line of defense, you will be responsible for monitoring, detecting, analyzing, and responding to security incidents to protect our organization. The...

  • Corporate Development Senior Analyst

    4 weeks ago

    Coral Gables, Florida, United States Amerant Bank Full time

    Corporate Development Senior AnalystAmerant Bank is seeking a highly skilled Corporate Development Senior Analyst to support the overall process of corporate development transactions, including deal sourcing, due diligence, competitive analysis, valuation, financial modeling, and post-merger integration.Key Responsibilities:Conduct industry and market...

  • Corporate Development Senior Analyst

    4 weeks ago

    Coral Gables, Florida, United States Amerant Bank Full time

    Corporate Development Senior AnalystAmerant Bank is seeking a highly skilled Corporate Development Senior Analyst to support the overall process of corporate development transactions, including deal sourcing, due diligence, competitive analysis, valuation, financial modeling, and post-merger integration.Key Responsibilities:Conduct industry and market...

  • Business Systems Analyst 3

    4 weeks ago

    Coral Gables, Florida, United States InsideHigherEd Full time

    Job SummaryWe are seeking a highly skilled Business Systems Analyst 3 to join our team. The successful candidate will be responsible for analyzing and improving business processes, identifying areas for cost savings and efficiency gains, and developing solutions to implement these changes.Key ResponsibilitiesAnalyze business processes and identify areas for...

  • Security Operations Center

    3 weeks ago

    Coral Gables, United States Lakeview Loan Servicing Full time

    Overview The IT Security Team is looking for a motivated and detail-oriented Security Operations Center (SOC) Analyst to join our cybersecurity team. As a SOC Analyst, you will be responsible for monitoring and analyzing security events, assisting in the detection and response to security incidents, and contributing to the overall security posture of the...

  • Onboarding Risk Analyst

    2 days ago

    Coral Gables, Florida, United States Bradesco Bank Full time

    Job DescriptionBradesco Bank is seeking a highly skilled Onboarding HUB Analyst to join our team. The successful candidate will be responsible for reviewing and analyzing client information, ensuring compliance with regulatory requirements, and supporting the onboarding process.Key Responsibilities:Review client documentation and verify CIP...

  • Corporate Development Senior Analyst

    4 weeks ago

    Coral Gables, Florida, United States Amerant Bank Full time

    Corporate Development Senior AnalystAmerant Bank is seeking a highly skilled Corporate Development Senior Analyst to join our team. As a key member of our corporate development team, you will be responsible for supporting the overall process of corporate development transactions, including deal sourcing, due diligence, competitive analysis, valuation,...

  • Senior Cybersecurity Operations Center Analyst

    2 weeks ago

    Coral Gables, Florida, United States Lakeview Loan Servicing Full time

    Job Title: Senior SOC AnalystOverviewThe IT Security Team at Lakeview Loan Servicing is seeking a highly skilled and experienced Senior Security Operations Center (SOC) Analyst to join our growing cybersecurity team. The Senior SOC Analyst will be the first line of defense, responsible for monitoring, detecting, analyzing, and responding to security...

  • Corporate Development Senior Analyst

    1 month ago

    Coral Gables, United States Amerantbank Full time

    Reporting to the Head of Financial Planning and Analysis, the Corporate Development Senior Analyst will be primarily responsible for supporting the overall process of corporate development transactions, including deal sourcing, due diligence, competitive analysis, valuation, financial modeling, and post-merger integration. The Corporate Development Senior...

Revenue Cycle Payer Relations Analyst

2 months ago

Coral Gables, United States University of Miami Full time

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

The Central Business Office has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer Relations Analyst performs analysis, tracks and develops performance improvements to support and enhance processes within the Revenue Cycle Department. This role develops and maintains excellent relations with payers, serves as an expert resource for payer policies, provides accurate and complex data analysis of reimbursement for all payers, and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also collaborate with internal staff to resolve issues related to the revenue stream.

  • Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and indicators that reflect new opportunities for revenue or charge capture, operational improvements and increased reimbursement.

  • Performs accurate and timely accounts receivable management. Analyzes accounts receivable transactions to ensure compliance with internal controls and accounting policies. Maintains and reconciles accounts receivable ledger and prepares management reports, including reports of delinquent accounts. Analyzes trends in bad debts and recommends improvements to accounts receivable policies and procedures.

  • Works closely with all Revenue Cycle Departments and Managed Care. Partners with internal staff to resolve issues related to the revenue stream. Coordinates with departments and insurance companies to correct errors as necessary. Documents and tracks all revenue cycle payer issues. Leads payer contract loads for underpayment recovery.

  • Conducts analysis and outcome assessments on issue report. Communicates changes and prepares weekly reports that assist Revenue Cycle leadership.

  • Maintains all documentation for the Payer Relations Team within Revenue Cycle to include Revenue Cycle Payer Relations emails via Resource Box in MS Outlook.

  • Coordinates payer visits to learn about any portal enhancements, guidelines updates, contract updates. Assists with payer in-service training upon request.

  • Audits proper use of account resolution from identification stage through resolution.

  • Monitors reimbursement regulations. Maintains knowledge of current legislation concerning HMO appeals on both national and state levels.

  • Ensures appropriate coverage for compliance standards and revenue generation. Participates in management and other meetings as necessary. Attends all payer JOC (joint operating committee) meetings and represents the organization at the state level by attending statewide payer teleconference meetings with FHA, CMS, and HFMA.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

MINIMUM QUALIFICATIONS

  • Associate degree in relevant field.

  • Minimum 5 years of relevant experience

  • HFMA CRCR Certification Required

  • Ability to exercise sound judgment in making critical decisions.

  • Skill in completing assignments accurately and with attention to detail.

  • Ability to analyze, organize and prioritize work under pressure while meeting deadlines.

  • Ability to work independently and/or in a collaborative environment.

  • Ability to communicate effectively in both oral and written form.

  • Ability to maintain effective interpersonal relationships.

  • Proficiency in computer software (i.e., Microsoft Office)

Any appropriate combination of relevant education, experience and/or certifications may be considered.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Floridas only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. Were the challenge youve been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status: Full time Employee Type: Staff Pay Grade: H9