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Reimbursement Analyst

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  • Springfield, MO
  • Posted: November 4, 2021
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Summary

  • Job Summary
    • This position must have a working knowledge of managed care, governmental and other third party payer reimbursement and payment terms. Assists in developing the goals and procedures for the ever-changing CoxHealth Network reimbursement area. The primary responsibilities of this position include, but are not limited to, contract fee schedule analysis, construction of reimbursement scenarios, compiling and maintaining financial data used in third party payer agreements, and contract review. Responsible for working with Contract Managers to update employer agreements at renewal with new rates and terms. This is the primary position that is responsible for analyzing all hospital and physician rates for new contracts and contracts that are up for renegotiation. Position will work with Contract Finance Director to complete ad-hoc reimbursement analysis and contract modeling. Position responsible to become familiar with and understand all CoxHealth Network contracts. Applicants must have extensive experience with Excel. Experience with physician and/or hospital coding is preferred.
  • Job Requirements
    • Education
      • Required: Bachelor’s Degree in Finance, Business, Healthcare, or a related field
    • Experience
      • Required: Minimum of one year of finance and computer experience.
    • Skills
      • Extensive experience with Excel, PowerPoint, Word and/or other software applications.
      • Ability to think critically and objectively in high-pressure situations.
      • Genuine concern for accuracy and attention to detail.
      • Demonstrated problem solving skills.
      • Demonstrated technical and professional skills in reimbursement and system analysis.
      • Written and verbal communication skills.
      • Ability to work well with other employees.
    • Licensure/Certification/Registration
      • N/A
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Job Information

COXHEALTHNETWORK
Full Time - Day Shift - 8:00am - 5:00pm
Professional/Technical - Non-Clinical
Req #: 20217631-55952
Remote Work Type: Full-Time Remote