Reimbursement Healthcare Analyst 3

7 days ago

Anaheim, California, United States University Of California Irvine Full time
Job Summary

UCI Health is seeking a highly skilled Reimbursement HC Analyst 3 to join our team. As a key member of our healthcare team, you will play a critical role in the loading and maintenance of UCIMC hospital and FQHC contracts in our current contract management system.

Responsibilities
  • Load and maintain UCIMC hospital and FQHC contracts in the current contract management system.
  • Ensure accurate calculation of contractual write-offs that allow the AR system to reflect accurate expected reimbursement and facilitate identification of potential underpayments and denials.
  • Take the lead role in any implementation, modifications, and/or troubleshooting of related computer systems and applications.
  • Develop and maintain process documentation, training, data flows, and reports that affect the current contract management system.
Requirements
  • Strong knowledge of healthcare automated systems utilized in a Business Office environment.
  • Strong analytical skills with the ability to summarize key information clearly and concisely.
  • Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
  • Must demonstrate customer service skills appropriate to the job.
  • Experience working in a hospital-based environment utilizing an automated Patient Accounting system.
  • Excellent written and verbal communication skills in English.
  • Epic Contracts Module Credentialing/Certification.
  • Detailed knowledge of registration, billing, and collections processes and data requirements.
  • Bachelor's Degree in Business, Finance, or related field, or an equivalent combination of education and experience.
  • Ability to work independently and take initiative to identify priorities and manage workload accordingly.
  • Ability to translate business questions and requirements into reports, templates, and analytical views.
  • Ability to think critically and problem-solve independently and/or collaboratively as the situation dictates.
  • Ability to read and understand the intent of regulatory documents to assess impact on current operational processes.
  • Ability to maintain a work pace appropriate to the workload.
  • Ability to identify process improvement opportunities and develop and recommend new processes as needed.
  • Ability to establish and maintain effective working relationships across the Health System.
Preferred Qualifications
  • Project management experience.
  • Knowledge of University and medical center organizations, policies, procedures, and forms.

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