Managed Care Operations Specialist
4 weeks ago
At Cooper University Hospital, we are committed to delivering exceptional healthcare services. Our team of professionals is dedicated to discovering innovative clinical solutions and enhancing access to the latest facilities, equipment, technologies, and research protocols.
Key Responsibilities
- Maintain and update Epic and contract management tools, ensuring accurate contract logic and efficient claims processing.
- Develop and maintain contract variance reports to identify inconsistencies and optimize contract management.
- Collaborate with billing teams to ensure seamless contract document updates and serve as a liaison between Billing and Managed Care.
- Design and implement reporting and modeling capabilities in Epic and contract management tools to optimize system performance.
- Provide backup support to Business Data Analyst as assigned.
Requirements
- Proficiency in Excel, Word, Access, and Epic.
- Experience in hospital/physician business office environments, particularly in billing or health plan administration, is preferred.
- Deadline-oriented with technical capability for Epic contract management maintenance.
- Ability to manage multiple complex and concurrent projects.
- Degree in Data Analytics, Finance, or Healthcare/Business Administration is preferred.
- Epic Certification in Resolute Hospital Billing or Resolute Physician Billing is required.
About Cooper University Hospital
Cooper University Hospital is a leading healthcare provider in South Jersey, committed to delivering exceptional patient care and innovative healthcare solutions.
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