Sr. Contract Analyst - Revenue Cycle Management

About Us:
Revenue Cycle Management (RCM) is the patient-centric, comprehensive process of managing the financial aspects of patient care from initial appointment scheduling and patient registration to the final payment of medical bills. Effective RCM ensures that our healthcare system receives timely and accurate reimbursement for services rendered, maintains compliance with regulations, and enhances operational efficiency, ultimately supporting the financial stability of the organization and improving the overall patient experience.
The Revenue Cycle Division consists of many departments including Patient Scheduling Center, Admissions, Financial Counseling, Clinical Documentation Improvement, Coding, ED Registration, Health Information Services, Outpatient Services Funding, Patient Accounting, Patient Financial Services, Payor Contracting and Revenue Integrity. Some departments have a full complement of staff onsite, others operate on a hybrid model while some staff work entirely from home.
Our team consists of a diverse group of skilled professionals, all working together to optimize patient and family engagement through a positive financial experience.
Job Summary:
This senior-level analyst position is responsible for producing managed care contract performance reports to analyze payer reimbursement and payment variance on an ongoing basis. The contract analyst ensures contract payment terms are accurately modeled in the various financial systems and provides decision support for managed care contract negotiations and projects through detailed reporting and analysis.
Qualifications:
Education
College Degree - 4 year In related field (required) Or
Equivalent Experience (required)
Licenses and Certifications
EPIC Certification 1 - EPIC Resolute Hospital Billing Expected Reimbursement Contracts Administration & Data Courier Badge within six (6) months of hire or transfer into position (required)
Work Experience
Minimum three (3) years Related work experience (required)
Skills and Abilities
Must have a broad based knowledge of hospital operations, including all aspects of the revenue cycle functions.
Must have a broad based knowledge of hospital information and financial systems.
Must possess strong conceptual, problem solving and analytical skills.
Must possess strong project management skills including the ability to adapt frequently to changing work priorities.
Must possess strong written and verbal communication skills.
Must possess the ability to achieve results in an independent manner.
Must be comfortable operating in a collaborative environment.
Computer Skills Must possess advanced proficiency in the use of personal computers and experience in the use of software used in a typical office environment (e.g. word processing, spreadsheet, database, presentation, etc.).
Ability to manipulate large amounts of data in an automated and efficient manner.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Compensation Range:
$44.03 - $63.75
Workshift:
Position Exempt:
Yes
FTE %:
100
Scheduled Weekly Hours:
40
Daily Hours:
8
Have Questions?
Call Recruitment Services at 559-353-7071 or email us at recruiting@valleychildrens.org
Disclaimer: Final compensation will be dependent upon skills and experience.