Description
GENERAL OVERVIEW :
This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of the processing error to the payor.
ESSENTIAL RESPONSIBILITIES
- Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%)
- Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts. (25%)
- Collaborates with Revenue Cycle and Finance Teams on contract building and analysis requests. (25%)
- Provides assistance in performing analyses to support reimbursement impact analysis. (10%)
- Perform other duties as assigned or required.
QUALIFICATIONS : Minimum
Minimum
- Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
- Experience in finance, contracting, or data analysis
- Epic Expected Reimbursement Contracts Certification (Must receive with 6 months of hire)
- Microsoft Office (Excel, PowerPoint, etc.)
- Ability to analyze and interpret various types of data including financial results, operational metrics, clinical outcomes, and other key datasets
- Ability to work with large quantities of detailed data and illuminate the higher-level strategic insights that can impact business operations and performance
- Ability to juggle multiple projects at once and manage time effectively, in order to meet established deadlines
- Strong oral and written communication skills
- Ability to independently make progress on key projects with support from supervisor or peer analysts
Preferred
- Bachelor's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field
- Experience with hospital, physician, and ASC contracts
- Experience in healthcare
- R, Python, or other statistical / programming tools
- Knowledge of healthcare industry, particularly as it relates to hospitals or other providers reimbursement methodologies
- Clinical background or general understanding of hospital / physician practice operations
Pay Range Minimum : $30.82
$30.82
Pay Range Maximum : $48.21
$48.21
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at
Managed Care Appeals Analyst
A company is looking for a Managed Care Appeals Analyst position. ...
Associate Managed Care Analyst
Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. Associate's degree in Finance, Accounting, Business Administration, Economics, Statistics, or Related Field. Ability to independently make progress on key projects with support from supervisor or peer ...
Business Analyst - Managed Care / TPL / BUYIN - Tallahassee, FL
Business Analyst - Managed Care / TPL / BUYIN - Tallahassee, FL. Business Analyst position with 2 or more years of Medicaid and Medicare experience preferred. Medicaid Managed Care, Third Party Liability, and BUYIN experience - preferred. LI-Medicaid Managed Care - Third Party Liability. ...
Client Care Analyst - Managed Business Services
Managed Services Business Program Analyst is principally responsible for change management, process improvement, data analytics, and project management. Collaborates with key individuals and stakeholders in the Managed Services teams to understand challenges and helps coordinate process improvement ...
Managed Care Revenue Optimization Analyst - FT - Days - MSS - Hybrid Eligible
Required Work Experience: Two (2) years experience working in a hospital/physician business office, managed care collections or managed care claims environment required. Reviews and analyzes managed care balances related to short payments, denials or those aged with no response. ACCOUNTABILITY, ACCU...
Payer Strategy Analyst
Possesses working knowledge of South Florida managed care payer environment, as well as commit to continuous learning and development of Statewide/National managed care payer trend in order to round out ability to produce well thought out, relevant and proactive analysis. Supports managed care negot...
SVP, Senior BP&A Lead Analyst - Financial Planning
The Financial Planning Sr Lead Analyst is a strategic professional who closely follows latest trends in own field and adapts them for application within own job and the business. Oversight of Product and Function financials including ICRM Tech Book of Work Financials. ...
Patient Coordinator (Palm Eye Care)
The primary role is to provide high-quality patient experience by welcoming and communicating with patients and creating an efficient patient flow and flawless patient transition throughout the eye care experience. Coordinate scheduling of patient appointments necessary to maintain patient flow, con...
Front Pharmacy Technician - Illinois
A company is looking for a Front Pharmacy Technician - Remote in Illinois or Iowa. ...
Rise Restaurant - Host/cashier - Part Time
Under the direction of the Blue Plate Restaurant Assistant Manager, Host/Cashier greets guests and ensures a positive dining experience. Minimum 1 year experience in high volume food service, as well as in cashiering/money handling. ...