This role is designed to support ongoing payer/plan operational maintenance efforts for overall support of the Insurance Center of Excellence. This individual will be well-versed in eligibility, networks, plan mapping, and other related Epic master files. They will partner with Contracting & Payer Relations and Revenue Cycle Operations to ensure these master files are up-to-date and reflective of current contract needs.
Bachelor's Degree in economics, mathematics, business administration, accounting, finance, healthcare business related fields or statistics and 11 years of relevant experience;
High School diploma and 15 years relevant experience in lieu of Bachelor’s degree.
Master's degree with 9 years' relevant experience preferred.
The Preferred Applicant will have experience and/or Epic certification with eligibility, networks, plan mapping, contracts and related Epic master files.
Has advanced knowledge of Microsoft applications including Word, Excel, Outlook and PowerPoint. Has an advanced understanding of coding, billing and compliance practices. Has expert knowledge of large revenue recognition systems and practice billing systems. Possesses expert investigational skills, shows attention to detail, accuracy and ability to manage and prioritize multiple tasks. Ability to work independently. Possess initiative, analytical skills, and an ability to operate with a high level of productivity. Demonstrates advanced communication and presentation skills. Ability to work and lead in a team environment and develop constructive working relationships with others. Able to lead others through difficult situations. Coding/Compliance Certification preferred.
This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position.
This position will accept applications until September 20, 2024 This deadline may be extended if the necessary candidate pool is not met by this date.
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