AR Reimbursement/Contract Modeling Specialist

4 weeks ago


Frankfort, Kentucky, United States UofL Health Full time

About the Role:

UofL Health is seeking a highly skilled Reimbursement/Contract Modeling Analyst to join our team. As a key member of our revenue cycle team, you will play a critical role in optimizing hospital revenue by analyzing and interpreting contract information, ensuring pricing models are consistent with reimbursement logic outlined in payor contracts.

Key Responsibilities:

  • Analyze contracts and coordinate with hospital charge master and other departments on reimbursement amounts and use of service/revenue codes.
  • Support training/education of other team members on reimbursement methods and pricing calculations.
  • Coordinate with Financial Counselors and other team members to analyze accounts and develop estimated pricing for procedures.
  • Prepare recurring and ad-hoc reports for insurance reimbursement auditors and other teams/departments for prioritization of account reviews.

Requirements:

  • Associate's degree in business, healthcare, accounting, computer science, or equivalent experience.
  • Three years of related work experience within the healthcare industry with an emphasis on contract modeling, auditing, or reimbursement.
  • Experience with McKesson STAR, EPSi, StrataJazz, Vitalware, Power BI Reporting or other payer modeling systems desired.

What We Offer:

  • A collaborative and dynamic work environment.
  • Opportunities for professional growth and development.
  • A comprehensive benefits package.

Language Ability:

Strong verbal and written communication skills with the ability to communicate effectively with all levels of staff.

Computer Skills:

Computer skills including but not limited to Microsoft Office Products (Outlook, Excel, Word, Power Point, etc.).

Additional Responsibilities:

  • Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
  • Maintains confidentiality and protects sensitive data at all times.
  • Adheres to organizational and department specific safety standards and guidelines.

About UofL Health:

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana.



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