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Reimbursement Contract Analyst - Decision Support

Develop and maintain expected payment rules for hospital and professional billing systems
Joplin, Missouri, United States
Senior
18 hours agoBe an early applicant
Freeman Health System

Freeman Health System

A Missouri-based healthcare provider offering a range of services including hospitals, clinics, and home health services.

6 Similar Jobs at Freeman Health System

Job Title

Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Schedule: Full Time Monday - Friday

What You'll Do

Builds accurate expected payment rules in our EPIC and Strata software systems. Models new contracts for reimbursement changes. Audits underpayments and assists in the collection process as needed. Report writing out of Epic and Strata software systems. Communicates the information to the appropriate people and works with them as needed. Works independently.

Responsibilities

  • Builds accurate expected payment rules in our EPIC and Strata software system for Hospital and Professional Billing.
  • Updates contracts as needed based upon payor changes or renegotiations.
  • Models new contracts for reimbursement changes.
  • Audits underpayments and assists in the collection process as needed.
  • Report writing out of Epic and Strata software systems.
  • Works closely with Managed Care and Revenue Cycle to interpret contract terms and implement changes.
  • Serves as an expert in building contracts out of EPIC.
  • Works independently and develops own projects
  • Compiles and analyzes financial information for an organization, so we can assure resources for serving our patients
  • Identifies trends and developments in competitive environments and presents findings.

Requirements

  • Bachelor of Science in Accounting, Finance or equivalent or at least 3 years of experience in the field of healthcare reimbursement or contract analysis or in a related area.
  • Strong understanding of payor contract terms, fee schedules, reimbursement methodologies.
  • EPIC Contract Management certification or willingness to obtain.
  • Ability to use excel and communicate appropriately.

Freeman Perks and Programs

  • For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!
  • Health, vision, dental insurance
  • Retirement with employer match
  • Wellness program with discounts to Health Insurance or Cash Bonus with Participation
  • Milestone payments with longevity of employment
  • Paid Time Off (PTO) or Flex time off (FTO)
  • Extended Sick pay
  • Learning Center designated only for Freeman Family members
  • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.
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Reimbursement Contract Analyst - Decision Support
Business Center, , United States of America Business Center
Support
About Freeman Health System
A Missouri-based healthcare provider offering a range of services including hospitals, clinics, and home health services.