BHMG Revenue Management Data/Report Analyst, Remote, BHMG Revenue Management, FT, 08:30A-5P
Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.
Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why we're all in for helping you be your best.
Description:
Responsible to provide analytical and decision support to revenue management team. Oversees contract compliance, payment variance and reporting support to RM, managed care and leadership. Understands all facets billing and collection processes, denial management, and managed care processes and applications. Performs revenue cycle analyses and identifies areas for improvement, performs root cause analysis of related processes and leads process improvement through coordination as necessary with practice staff, corporate functions supporting the practices and third-party billing/collection vendor. Serves as primary liasion between managed care, payer representatives, IT and RM to support, design and test RM contract module and related systems. Participates in key management initiatives and performs special projects related to the physician practice revenue cycle. Position requires high level of professionalism, confidentiality and integrity.
Estimated pay range for this position is $51194 - $66552.2 / year depending on experience.
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Qualifications:
Degrees: Bachelors Additional Qualifications: Bachelors Degree in Accounting, Finance or Health Administration or related business discipline. Masters Degree preferred. CCA, CCS or CCS-P certification preferred, proven experience with coding and billing may be considered. Ability to set priorities and manage multiple demands effectively with minimal direction and oversight. Extensive experience with payer contracts, reimbursement methodology, payment compliance, charge structure and reimbursement modeling. Excellent organizational, interpersonal and written and verbal communication skills. Excellent analytical and financial skills including computational and reporting tool capabilities. Advanced skills in Excel, including pivot tables, and data relational software. Ability to lead projects. Minimum Required Experience: 5