Current jobs related to Healthcare Reimbursement Analyst - Frankfort, Kentucky - UofL Health
-
Frankfort, Kentucky, United States UofL Health Full timeAbout 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...
-
Business Operations Analyst III
2 weeks ago
Frankfort, Kentucky, United States Centene Corporation Full timeTransforming Healthcare: Business Analyst III RoleCentene Corporation is a leading diversified national organization transforming the health of our communities. As a Business Analyst III, you will play a crucial role in driving business initiatives and improving operational performance.Key Responsibilities:Perform detailed analysis on multiple projects to...
-
Business Systems Analyst
4 weeks ago
Frankfort, Kentucky, United States Cynet Systems Full timeBusiness Analyst Job DescriptionCynet Systems is seeking a highly skilled Business Analyst to join our team. As a Business Analyst, you will play a critical role in driving business growth and improvement by analyzing business needs and developing solutions to meet those needs.Key Responsibilities:Lead or engage in requirements gathering/JAD sessions to...
-
Business Systems Analyst
2 weeks ago
Frankfort, Kentucky, United States Cynet Systems Full timeBusiness Analyst Job DescriptionCynet Systems is seeking a highly skilled Business Analyst to join our team. As a Business Analyst, you will play a critical role in driving business growth and improvement by analyzing business needs and developing solutions to meet those needs.Key Responsibilities:Lead or engage in requirements gathering/JAD sessions to...
-
Programmer/Analyst III
2 weeks ago
Frankfort, Kentucky, United States Kentucky Personnel Full timeProgrammer/Analyst IIIWe are seeking a skilled Programmer/Analyst III to join our team at the Kentucky Department of Fish and Wildlife Resources. As a key member of our IT department, you will be responsible for designing, developing, and maintaining database applications that support our conservation efforts.Key Responsibilities:Design and develop robust,...
-
Board Certified Behavior Analyst Position
2 weeks ago
Frankfort, Kentucky, United States RightWorks Staffing Full timeAbout the OpportunityRightWorks Staffing is partnering with a growing regional ABA firm to find a skilled Behavior Analyst for their Frankfort, Indiana clinic.This is an exciting opportunity to join a well-established local company with a manageable caseload, room for advancement, and excellent benefits.ResponsibilitiesOversee a caseload of 6-10 clients,...
-
Business Systems Analyst
1 week ago
Frankfort, Kentucky, United States Intermountain Health Full timeJob SummaryIntermountain Health is seeking a skilled Business Systems Analyst to join our team. As a Business Systems Analyst, you will play a critical role in sustaining business processes and processes impacted by data and systems.Key ResponsibilitiesParticipate in Business Process Management (BPM) including modeling processes using various notations,...
-
Pharmacy Business Technical Analyst
7 days ago
Frankfort, Kentucky, United States Intermountain Health Full timeJob Title: Pharmacy Business Technical AnalystJob Summary:This position is responsible for sustaining business processes and processes impacted by data and systems in the Pharmacy Services team. The business analyst serves as the central point for interface changes for systems and data.Key Responsibilities:Participate in Business Process Management (BPM)...
-
Business Systems Analyst
4 days ago
Frankfort, Kentucky, United States ApTask Full timeAbout the Role:The Business Systems Analyst will be responsible for capturing system requirements and liaising between Subject Matter Experts (SMEs) to understand business requirements and convert them into system requirements. The ideal candidate will have a good understanding of the US Healthcare system and be able to discuss system requirements with...
-
Healthcare IT Specialist
3 weeks ago
Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full timeAbout the RoleWe are seeking a highly skilled and motivated Resource Management Analyst II to join our team at the Cabinet for Health and Family Services. As a key member of our team, you will play a critical role in supporting software systems and processes, providing statewide user support, and analyzing reports and data to ensure compliance with state and...
-
Information Security Analyst
2 weeks ago
Frankfort, Kentucky, United States Marriott Full timeJob SummaryThe Application Security Analyst will assist in monitoring and assessing the security of web applications under the guidance of the Senior Application Security Manager. This role involves supporting the enforcement of security standards, participating in application security risk assessments, and aiding in the documentation and remediation...
-
Travel Respiratory Therapist
4 days ago
Frankfort, Kentucky, United States Bluepipes Full timeJob Summary:Ventura MedStaff is seeking an experienced Respiratory Therapist for a travel allied position in a dynamic healthcare setting. As a key member of the team, you will provide high-quality patient care and support to patients with respiratory conditions. This is a 13-week assignment with a competitive pay rate of $1287 per week.About Ventura...
-
Business Technical Lead
3 weeks ago
Frankfort, Kentucky, United States Centene Corporation Full timeTransforming Healthcare with Data-Driven InsightsCentene Corporation is seeking a highly skilled Business Technical Analyst, Lead to join our team. As a key member of our organization, you will play a critical role in driving business growth and improving healthcare outcomes for our 28 million members.Key Responsibilities:Lead a team of Business Technical...
-
Healthcare Professional
4 weeks ago
Frankfort, Kentucky, United States Ascension Full timeJob Opportunity at Presence Health Service CenterWe are seeking compassionate and caring Certified Nursing Assistants (CNAs) to join our team at Presence Health Service Center, part of Ascension.As a CNA, you will play a vital role in providing high-quality patient care and support to our residents. Your responsibilities will include assisting with basic...
-
Healthcare Professional
3 weeks ago
Frankfort, Kentucky, United States Ascension Full timeJob Opportunity at Presence Health Service CenterWe are seeking compassionate and caring Certified Nursing Assistants (CNAs) to join our team at Presence Health Service Center, part of Ascension.As a CNA, you will play a vital role in providing high-quality patient care and support to our residents. Your responsibilities will include assisting with basic...
-
Contract Modeling Specialist
3 days ago
Frankfort, Kentucky, United States UofL Health Full timeAbout UofL HealthUofL Health is a fully integrated regional academic health system with a strong presence in Louisville and the surrounding counties, including southern Indiana.We are committed to transforming the health of our communities through compassionate, innovative, patient-centered care.Our team of highly skilled health care professionals is...
-
Behavioral Therapist
1 month ago
Frankfort, Kentucky, United States RightWorks Staffing Full timeAbout the OpportunityWe are seeking a highly skilled Behavior Analyst to join our team at RightWorks Staffing. Our client, a reputable regional ABA firm, is currently looking for a dedicated professional to work in their Frankfort, Indiana clinic.ResponsibilitiesManage a caseload of 6-10 clients, including initial assessments, writing behavioral intervention...
-
Travel Surgical Technician
3 weeks ago
Frankfort, Kentucky, United States Host Healthcare Full timeJob Title: Surgical TechnicianHost Healthcare is seeking a skilled Surgical Technician to join their team in Frankfort, Kentucky.Job Description & RequirementsSpecialty: Surgical TechnicianDiscipline: Allied Health ProfessionalDuration: 13 weeksShift: 8 hours, daysEmployment Type: TravelAs a Surgical Technician with Host Healthcare, you will have the...
-
Nurse Specialist
1 week ago
Frankfort, Kentucky, United States Munson Healthcare Full timeAt Munson Healthcare, we're committed to providing exceptional care to our patients and their families. As a Registered Nurse in our Long Term Care department, you'll be part of a multidisciplinary team that includes experienced and new graduate RNs, providers, clinicians, and support staff. Our team works together to provide coordinated care around the...
-
Travel Nurse RN
3 weeks ago
Frankfort, Kentucky, United States Host Healthcare Full timeJob Title: Medical-Surgical Registered NurseHost Healthcare is seeking a skilled Medical-Surgical Registered Nurse for a travel nursing position in Frankfort, Kentucky.Job Description & RequirementsSpecialty: Medical-SurgicalDiscipline: Registered NurseStart Date: ASAPDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelAs a...
Healthcare Reimbursement Analyst
2 months ago
Position Overview:
We are seeking a dedicated professional to join our Reimbursement Analysis team. This role involves collaborating with various departments to optimize hospital revenue through effective contract analysis and reimbursement strategies.
About UofL Health:
UofL Health is a comprehensive regional academic health system dedicated to providing advanced healthcare services. Our organization comprises multiple hospitals, medical centers, and a vast network of healthcare professionals committed to enhancing community health through innovative and compassionate care.
Role Summary:
The Reimbursement Analyst will play a critical role in evaluating vendor applications to ascertain expected reimbursement levels. This position necessitates a thorough understanding of contract details to ensure alignment with reimbursement protocols established in payer agreements. The analyst will utilize data reporting tools to identify trends and underpayment issues, fostering collaboration with finance, contract relations, and other relevant departments.
Key Responsibilities:
1. Develop expertise in reimbursement workflows and the associated software applications.
2. Act as the primary resource for account-level pricing based on contract reimbursement methodologies.
3. Facilitate training sessions for team members regarding reimbursement practices and pricing methodologies.
4. Analyze contracts in conjunction with the hospital charge master to ensure accurate reimbursement amounts.
5. Collaborate with Financial Counselors to provide estimated pricing for various procedures.
6. Uphold compliance with organizational policies and standards.
Essential Functions:
1. Utilize existing pricing tools and assist in the development of new tools for reimbursement forecasting.
2. Generate reports on payment variances to address underpayment challenges.
3. Provide pricing estimates for patients and registration staff based on contractual agreements.
4. Validate new contracts and amendments to maintain rate integrity.
5. Prepare reports for insurance reimbursement audits and prioritize account reviews.
Qualifications:
Education:
Associate's degree in business, healthcare, accounting, or a related field is required; a Bachelor's degree is preferred.
Experience:
Minimum of three years in the healthcare industry with a focus on contract modeling, auditing, or reimbursement processes. Familiarity with relevant software systems is advantageous.
Skills and Abilities:
1. Proficient in interpreting payer contracts and billing regulations.
2. Strong analytical and problem-solving skills with attention to detail.
3. Excellent organizational skills with the ability to prioritize tasks effectively.
Computer Proficiency:
Proficient in Microsoft Office Suite and advanced spreadsheet applications.
Additional Responsibilities:
Commitment to service excellence and professionalism is essential. Maintain confidentiality and adhere to safety standards while collaborating effectively with team members and stakeholders.
