Reimbursement and Contracting Specialist

4 days ago


Denver, Colorado, United States National Jewish Health Full time
Job Summary

We are seeking a highly skilled Reimbursement and Contracting Analyst to join our team at National Jewish Health. As a key member of our revenue cycle team, you will play a critical role in ensuring accurate and timely reimbursement for our patients.

Key Responsibilities
  • Prepare and analyze government cost reports, including Medicare, Medicaid, and Champus/TriCare reports.
  • Monitor and analyze managed care contracting activity to ensure reimbursement is in accordance with executed agreements.
  • Provide data support and work paper documentation for internal and external financial audits.
  • Develop and maintain charge description master updates and revisions, including analyzing annual CPT/HCPSC changes.
  • Coordinate managed care contracting, including negotiation, re-negotiation, enrollment, and administrative functions.
  • Negotiate single case agreements with prospective non-contracted payors and government plans.
Requirements
  • Bachelor's degree in Business Administration, Healthcare Administration, or Accounting.
  • Minimum of three years of recent and related experience in healthcare reimbursement, including revenue cycle and/or managed care contracts.
  • Strong computer skills, including proficiency in Microsoft Word, Excel, and Access.
What We Offer

At National Jewish Health, we offer a comprehensive benefits package, including medical, dental, and vision insurance, retirement plan, FSA and HSA, short and long-term disability, life insurance, and AD&D. We also offer a wellness program, legal plan, and paid time off.



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