Summary

Provides analytical support related to reimbursement to all levels of the organization. Assists hospital Business Offices in working payment variances in a timely manner. Assists with month end close process for Managed Care. Works to support the system in regards to insurance master structure and maintenance. Completes assigned goals.

Responsibilities

Using EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payer agreements including Medicare, Medicaid, Blue Cross, and other payors.

Perform extensive review, analysis and interpretation of contract modeling results. Research, explain and correct inconsistencies within the contract models.

Support contract negotiations using contract modeling software to evaluate and create reimbursement proposals.

Maintain collaborative relationships with Managed Care Contracting and Patient Accounting share information regarding payor financial arrangements and contract models.

Research and understand Medicare, Medicaid and commercial payment methodologies and industry developments. Progress in knowledge of healthcare payment methodologies and contract modeling.

Maintain Insurance master file for entire system

Requirements, Preferences and Experience

Education

Preferred: MBA

Minimum: Bachelors Degree in Finance, Accounting, or related field, or equivalent combination of education and experience.

Experience

Minimum: Five or more years experience in healthcare data reporting area such as managed care or decision support role.

Special Skills

Minimum: Excellent communication skills and demonstrated ability to interact with multiple levels within an organization.

Training

Preferred: Epic HB Contracts Module Pathways Contract Management (PCON) experience.

Minimum: Expert level Excel, including using pivot table, and slicers.

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer:

Competitive salaries

Paid vacation/time off

Continuing education opportunities

Generous retirement plan

Health insurance, including dental and vision

Sick leave

Service awards

Free parking

Short-term disability

Life insurance

Health care and dependent care spending accounts

Education assistance/continuing education

Employee referral program

Job Summary:

Position: 13809 - Analyst-Business I

Facility: BMHCC Corporate Office

Department: Revenue Cycle-Rev Enhancement

Category: Finance and Accounting

Type: Non Clinical

Work Type: Full Time

Work Schedule: Days

Location: US:TN:Memphis

Located in the Memphis metro area REQNUMBER: 18246