Analyst-Business I

Job Summary Provides analytical support related to reimbursement to all levels of the organization. Assist hospital Business Offices in working payment variances in a timely manner. Assist with month end close process for Managed Care. Works to support the system in regards to insurance master structure and maintenance. Completes assigned goals. Job Responsibilities Using EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payer agreements including Medicare, Medicaid, Blue Cross, and other payors. Perform extensive review, analysis and interpretation of contract modeling results. Research, explain and correct inconsistencies within the contract models. Support contract negotiations using contract-modeling software to evaluate and create reimbursement proposals. Maintain collaborative relationships with Managed Care Contracting and Patient Accounting to share information regarding payor financial arrangements and contract models. Research and understand Medicare, Medicaid and commercial payment methodologies and industry developments. Progress in knowledge of healthcare payment methodologies and contract modeling. Maintain Insurance master file for entire system. Experience Minimum Required: Five or more years’ experience in healthcare data reporting area such as managed care or decision support role. Preferred/Desired: Experience in decision support or managed care. In depth knowledge of managed care contract language. Education Minimum Required: Bachelor's Degree in Finance, Accounting, or related field, or equivalent combination of education and experience. Training Minimum Required: Expert level Excel, including pivot tables and slicers. Special Skills Minimum Required: Excellent communication skills and demonstrated ability to interact with multiple levels within an organization. Preferred/Desired: Epic Certification. #J-18808-Ljbffr Baptist Memorial Health Care