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Contract Modeling Analyst
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Job Description
- Req#: 454737
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement within one of the nation's largest nonprofit healthcare organizations
- Engaging work in a mission-driven environment focused on delivering quality care to patients
- Collaborate with a diverse team of professionals in a supportive workplace
- Chance to significantly impact financial accuracy and operational efficiency in the healthcare sector
- Work within a well-established organization contributing over $4.2 billion annually in charity care and community benefits
What to Expect (Job Responsibilities):
- Build and test contract modeling calculations for accurate billing adjustments
- Maintain and input Payor contracts to calculate net expected reimbursement
- Collaborate with Payor Strategy and Revenue Cycle management for timely updates
- Interpret managed care contracts and government reimbursement methodologies
- Conduct thorough testing of new and existing entries in the Revenue Cycle system
What is Required (Qualifications):
- Bachelor's Degree preferred
- 3-5 years of experience in Revenue Cycle application or related fields
- Extensive knowledge of healthcare reimbursement methodologies and concepts
- Experience in contract modeling or Patient Financial Services
- Hospital Billing Expected Reimbursement Contracts certification preferred
How to Stand Out (Preferred Qualifications):
- Experience with Meditech, PCON, Epic, or PIC systems
- Strong analytical and problem-solving skills
- Familiarity with financial audits and their impact on healthcare organizations
- Excellent communication and collaboration skills
- Ability to work effectively in a fast-paced environment
#HealthcareServices #RevenueCycle #HealthcareFinance #CareerOpportunity #ContractModeling
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