Analyst-Mgd Care Reimbursement
Northeast Georgia Health System · US
Job Category: Accounting & Finance Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the h...
Job description
Job Category: Accounting & Finance Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Performs a wide range of complex managed care analytical and operational functions. Performs office procedures in support of managers. This position is responsible for managed care financial analysis. This person will also assist with contract negotiation processes as needed, make recommendations to the Managed Care negotiators regarding terms of the contract. This person will act as a liaison between contract management system administrators, Revenue Cycle, and the Managed Care negotiators for resolution and feedback of any related items. This person will work with managed care payors to resolve claims and related issues in order to enhance managed care contract performance. Minimum Job Qualifications: Licensure or other certifications: Educational Requirements: High School Diploma or GED. Minimum Experience: Four (4) years of related managed care contracting and/or billing/collection experience in a hospital and/or managed care payor setting. Other: Preferred Job Qualifica...