Job Description
- Job Description:
- Perform a wide range of complex managed care analytical and operational functions
- Perform office procedures in support of managers
- Responsible for managed care financial analysis
- Assist with contract negotiation processes as needed
- Make recommendations to the Managed Care negotiators regarding terms of the contract
- Act as liaison between contract management system administrators, Revenue Cycle, and Managed Care negotiators for resolution and feedback of related items
- Work with managed care payors to resolve claims and related issues in order to enhance managed care contract performance
- Requirements:
- High School Diploma or GED
- Four (4) years of related managed care contracting and/or billing/collection experience in a hospital and/or managed care payor setting
- Knowledge of Microsoft Excel and other spreadsheet systems
- Knowledge of Patient Accounting Systems
- Knowledge in Managed Care or similar reimbursement area
- Knowledge of SQL programs
- Understanding of billing practices, specifically revenue codes, CDM codes, and ICD-9 codes
- Excellent organizational and communication skills
- Knowledge of contract negotiation process
- Ability to apply mathematical and analytical skills
- Benefits:
- Health insurance
- 401(k)
- Flexible working hours
- Paid time off
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