Senior Managed Care Analyst - Full Time

Job description

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education: - Bachelors Degree in Accounting or Finance required. - Masters Degree in relevant field preferred. Experience / Qualifications: - Minimum five years of Payer Contracting or Revenue Cycle experience that includes payer contract modeling, familiarity with fee schedules and charge masters, pricing transparency, billing, prior authorization, and denial processes. - Knowledge of Medicare Allowable rate calculations for: DRGs for inpatient hospital claims, APC rates for outpatient hospital claims, drug, ASC and physician payment rates for global, technical and professional rates by modifiers. - Knowledge o...