Reimbursement and Contracting Analyst Featured Job
- Location Glendale, CO
- Facility National Jewish Health - Galleria Office Towers
- Schedule - Shift - Hours Full Time - Day Shift
Position Summary
The Reimbursement and Contracting Analyst contributes to the design, development and application of systems solutions to support reimbursement control and financial reporting. Assists in preparing government cost reports. Monitors managed care contracting activity to ensure reimbursement is in accordance with executed agreements.
- Prepares assigned sections of the Medicare, Medicaid and Champus/TriCare cost reports and work papers.
- Assists with the validation and analysis of the reimbursement impact of government and managed care payor audits.
- Provides data support and work paper documentation for various internal and external financial audits.
- Performs various monthly statistical reports to assist in the management of the revenue cycle, including accounts receivable, patient statistics, and Coding department productivity.
- Conducts ongoing studies to measure actual contract performance as compared to expected performance. Provides direction and assistance to all revenue cycle departments with respect to specific payor contract structure and expectations. Disseminates payor updates and communications to the various internal departments.
- Implements charge description master updates and revisions, including analyzing annual CPT/HCPCS changes that may impact the various clinical, coding, and revenue cycle departments.
- Coordinates managed care contracting including the negotiation, re-negotiation, enrollment and other administrative functions related to these agreements.
- Negotiates single case agreements with prospective non-contracted payors and government plans.
- Handles and assures the confidentiality of sensitive information obtained through various job responsibilities.
Other Duties
- Assists Patient Financial Service management on special projects that require analytical assistance.
- Assists in the preparation of the Center’s net revenue budget.
- Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
- Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
- Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
- Business Acumen: Using economic, financial, market, and industry data to understand and improve business results.
- Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees within and across his/her department to achieve shared goals.
- Decision Making: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions.
- Initiative: Taking prompt action to accomplish objectives; being proactive.
- Managing Work and Time: Effectively managing one’s time and resources to ensure that work is completed efficiently.
- Problem Solving: Uses issue identification, data relation and comparison, pattern recognition and information gathering to create analyses and make recommendations.
Supervisory or Managerial Responsibility
None
Travel
None
Core Values
- Be available to work as scheduled and report to work on time.
- Be willing to accept supervision and work well with others.
- Be well groomed, appropriately for your role and wear ID Badge visibly.
- Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
- Fosters an inclusive workplace where diversity and individual differences are valued.
- Adheres to safe working practices and follows all institutional and departmental safety policies and procedures.
- Wears appropriate PPE as outlined by the infection control policies and procedures.
- Demonstrates compliance with all state, federal and all other regulatory agency requirements.
Minimum Qualifications
- Education: Bachelor’s degree in Business Administration, Health Care Administration or Accounting required.
- Work Experience: A minimum of three (3) years of recent and related experience in health care reimbursement field, including Revenue Cycle and/or a minimum of one (1) year experience involving analysis of managed care contracts required.
- Special Training, Certification or Licensure: Strong computer skills, including proficiency in Microsoft Word, Excel and Access preferred.
Salary Range: $65,000 - $80,000
Benefits
At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset.
With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.
- Medical Plans, Dental Plans and Vision Insurance
- Retirement Plan
- FSA and HSA
- Short and Long Term Disability
- Life Insurance and AD&D
- Voluntary Benefits, like Accident Insurance, Critical Care and Hospital Indemnity
Upload your resume to join our Talent Community and let us know that you're interested in receiving future updates on new opportunities. Thank you for considering a career with National Jewish Health.
National Jewish Health
Human Resources
1400 Jackson St
Denver, CO 80206
303.398.1035
HR@NJHealth.org
National Jewish Health is a non-profit, non-sectarian institution and is a longstanding cornerstone in the Denver healthcare community. National Jewish Health seeks to attract the best-qualified candidates who support the mission, vision and values of the Institution and those who respect and promote excellence through diversity. We are committed to providing equal employment opportunities (EEO) to all employees and applicants without regard to race, color, creed, religion, sex, age, national origin, citizenship, sexual orientation, gender identity and expression, physical or mental disability, marital, familial or parental status, genetic information, military status, veteran status or any other legally protected classification. We are a tobacco and fragrance free environment.
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