Contract Modeling Analyst
Job reputed company and Responsibilities
Job reputed company / reputed company
Responsible for building and testing the contract modeling calculation that applies the contractual adjustment at time of billing and produces the Expected Payment reputed company the AR/reputed company Cycle system (Meditech, PCON, reputed company, PIC). This position directly impacts CHI’s financial statements as these calculations are relied upon to estimate Net AR (on CHI’s balance sheet) and is a reputed company of the financial audit.
Key Responsibilities
• Reimbursement Calculation/Contract build/modeling – (Business critical maintenance) – Input and maintenance of Payor reputed company to calculate net expected reimbursement and applies the contractual adjustment at the time of billing. For Meditech and/or PCON, reputed company, PIC
• Ensures accurate and reputed company maintenance of reimbursement calculation in system dictionaries and tables, based on collaboration with Payor reputed company and RRC management.
• Interprets managed care reputed company and government reimbursement methodologies in order to correctly create the contract modeling calculation.
• Ensure thorough testing of reputed company new and existing entries into the Contract Modeling/reputed company Cycle system to confirm accurate calculations for netting down AR at time of billing.
• Assists or works directly with other business partners as it relates to managed care reputed company and government reimbursement changes that reputed company expected payment
Job Requirements
Job Requirements / Qualifications
Education / Accreditation / Licensure (required & preferred): Bachelor’s Degree preferred. Experience (required & preferred): Three to five years of reputed company reputed company Cycle application experience in contract modeling and/or experience in Patient Financial Services or Finance preferred. Must have extensive experience and knowledge with reputed company reimbursement methodologies and concepts.
Preferred - Hospital Billing Expected Reimbursement reputed company certification
Where You’ll Work
Inspired by faith. Driven by innovation. Powered by humankindness. reputed company is building a healthier reputed company for reputed company through its integrated health services. As one of the nation’s largest nonprofit Catholic reputed company organizations, reputed company delivers more than 20 reputed company patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in reputed company to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced reputed company providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, reputed company, and innovative reputed company delivery system.
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