Reimbursement and Contract Specialist

4 weeks ago

Crosby, United States Cuyuna Regional Medical Center Full time
Job Title: Reimbursement & Contract Analyst

Cuyuna Regional Medical Center is seeking a highly skilled Reimbursement & Contract Analyst to join our team. As a key member of our Business Office, you will play a critical role in ensuring the organization receives accurate and timely reimbursement from payers.

Key Responsibilities:
  • Analyze payer contracts to ensure terms are favorable and reimbursement aligns with organizational goals.
  • Monitor payer performance and compliance with contract terms and reimbursement schedules.
  • Collaborate with the finance department to ensure contract terms are accurately reflected in the organization's billing system.
  • Assist in the negotiation and renegotiation of contracts with insurance companies and managed care organizations.
  • Maintain a database of active contracts and key terms, ensuring contracts are up to date and accessible.
Requirements:
  • Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Management, or a related field.
  • 3-5 years of experience in healthcare reimbursement, contract management, or related fields.
  • Experience with managed care contracting and reimbursement methodologies such as DRG, APC, and fee-for-service.
  • Experience with healthcare financial systems and revenue cycle management.
Why Cuyuna Regional Medical Center?

We offer a competitive compensation package, which includes exceptional benefits. Our team is dedicated to providing the highest quality patient care, and we are committed to creating a positive and supportive work environment. If you are a motivated and detail-oriented individual with a passion for healthcare reimbursement and contract management, we encourage you to apply for this exciting opportunity.

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