Analyst-Revenue Cycle Financial
4 weeks ago
Provides analytical support related to reimbursement to all levels of the organization. Assists hospital Business Offices in working payment variances in a timely manner. Assists with month end close process for Managed Care. Works to support the system in regards to insurance master structure and maintenance. Completes assigned goals.
Responsibilities
- Using EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payer agreements including Medicare, Medicaid, Blue Cross, and other payors.
- Perform extensive review, analysis and interpretation of contract modeling results. Research, explain and correct inconsistencies within the contract models.
- Support contract negotiations using contract modeling software to evaluate and create reimbursement proposals.
- Maintain collaborative relationships with Managed Care Contracting and Patient Accounting share information regarding payor financial arrangements and contract models.
- Research and understand Medicare, Medicaid and commercial payment methodologies and industry developments. Progress in knowledge of healthcare payment methodologies and contract modeling.
- Maintain Insurance master file for entire system
Education
Preferred: MBA
Minimum: Bachelors Degree in Finance, Accounting, or related field, or equivalent combination of education and experience.
Experience
Minimum: One (1) year of experience in a related field.
Special Skills
Minimum: Excellent communication skills and demonstrated ability to interact with multiple levels within an organization.
Training
Preferred: Epic HB Contracts Module Pathways Contract Management (PCON) experience.
Minimum: Expert level Excel, including using pivot table, and slicers.
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
- Competitive salaries
- Paid vacation/time off
- Continuing education opportunities
- Generous retirement plan
- Health insurance, including dental and vision
- Sick leave
- Service awards
- Free parking
- Short-term disability
- Life insurance
- Health care and dependent care spending accounts
- Education assistance/continuing education
- Employee referral program
Job Summary:
Position: 13809 - Analyst-Business I
Facility: BMHCC Corporate Office
Department: Revenue Cycle-Rev Enhancement
Category: Finance and Accounting
Type: Non Clinical
Work Type: Full Time
Work Schedule: Days
Location: US:TN:Memphis
Located in the Memphis metro area
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