Tower Health

  • Managed Care Analyst- Hospital Reimbursement

    Job Locations US-PA-Reading
    Requisition ID
    2018-22744
    Hospital
    Tower Health Partners
    Shift
    Day shift
    Department
    Managed Care
    Category
    Management/Professional
    # of Openings
    1
    Position Type
    Regular Full-Time
    Work Schedule
    8AM-430PM
  • Responsibilities

    The Managed Care Analyst for Hospital Reimbursement is responsible for modeling hospital contract proposals producing financial analysis, supporting revenue cycle initiatives and maintaining all aspects of the managed care contract management system(s). 

     

    Duties also include loading/managing managed care contracts, auditing new and renewing contracts, working with the internal revenue cycle teams to identify and manage 3rd party payor denials, overpayment and underpayment issues.

     

    In addition responsibilities include producing ad hoc, weekly, monthly and annual financial reports using contract management and other systems.

    Qualifications

    Education Requirements:

     

    4 year/Bachelors Degree: Healthcare Management, Finance/Accounting or related field or equivalent work experience in a similar or related role

     

    Experience and Skills:

     

    • 5+ years of experience: proven working knowledge in managed care modelings, preferably in hospital or provider setting - Required
    • Fully knowledgeable in hosppital billing, financial analysis, contracting methods, contract interpretation and all aspects of the contract negotiation process- Required
    • Experience using EPIC Practice Management System, Web Focus, Med Assets, Contract Manager or Meditech- Preferred

     

    Required Skills:

     

    • Strong verbal and written communication skills
    • Strong analytical skills
    • Advanced MS Excel skills- pivot tables and v-look ups
    • Strong organizational skills
    • Ability to handle multiple tasks concurrently and work well under tight deadlines
    • Proven working knowledge of providers' revenue cycle process

     

     

     

     

     

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