Senior Contract Variance Analyst

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🕒 Junho 16

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Advocate Aurora Health

10.000+ funcionários

⚕️ Seguro de Saúde

💰 $10.200.000 Grant em 2019-08

Healthcare Insurance

A Advocate Aurora Health é uma organização de saúde líder que atua em várias regiões, incluindo Central Chicagoland, Central Wisconsin, Greater Milwaukee, entre outras. Com uma ampla gama de áreas de carreira como clínicos de prática avançada, saúde comportamental, enfermagem e mais, a Advocate Aurora Health está comprometida em ajudar as pessoas a viver bem. A organização oferece inúmeros benefícios e oportunidades de avanço na carreira, promovendo um ambiente onde os indivíduos podem prosperar e inovar no setor de saúde. A Advocate Aurora Health prioriza a segurança de seus candidatos e mantém um robusto processo de recrutamento para proteger informações sensíveis.

Descrição

• Oversee the Hospital (HB) and Professional (PB) Underpayments Management process. • Serve as the liaison to management and for payer meetings/escalation to address contractual variance issues. • Optimize net revenue related to reimbursement for hospital and professional services. • Provide key insights and recommendations to maximize net revenue within the current prevailing contract language for commercial/managed care and federal/state/ government contracts. • Ensure timely processing of appeals in accordance with payer/contract guidelines and Revenue Cycle policies. • Identify, analyze, and research root causes and contract variance trends.

🎯 Requisitos

• Bachelor's Degree in Accounting , Health Care Administration or Equivalent Experience • 6 years of Revenue Cycle or Managed Health experience related to payment resolution at a large hospital or integrated healthcare delivery system. • Excellent management and leadership skills. • Excellent communication, organizational and customer service skills. • Excellent and thorough knowledge of all aspects of the hospital revenue cycle as well as the supporting systems, reimbursement and governmental regulations and reimbursement models in effect. • Knowledge of medical terminology, UB-04 requirements and CPT, HCPCs Coding. • Strong knowledge of PCI compliance and how it pertains to the Health Care environment.

🏖️ Benefícios

• Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program

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