Managed Care Analyst I
About The Position
The Sarasota Memorial Patient Financial Services Team is Hiring Now! Apply Today! Responsible for the collection and reconciliation of underpayments on managed care contracts. Maintains a log of the current status of underpayments collected. Maintains and continually updates the department training manual. Provides a weekly and a monthly report of collections to the Manager. Responsible for completion of projects that are pro-active and focused on problem areas and high cost services to ensure maximum contractual reimbursement. Responsible for understanding the reimbursement methods by contract and knowledge of PMMC for contract management reporting. Responsible for developing a strong relationship with insurance carriers in order to address multiple underpayments by a given payer. Onsite position. Monday - Friday Flexible start time
Requirements
- Require a minimum of five (5) years of collections or healthcare-related experience within a healthcare setting. A bachelor’s degree can substitute for the required work experience.
Nice To Haves
- Prefer Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS).
- Prefer demonstrated analytic skills.
- Prefer demonstrated computer skills in spreadsheet database, word processing, PMMC and any other applications.
- Prefer strong interpersonal skills, including the ability to handle difficult situation in a diplomatic manner.
- Prefer ability to type a minimum of forty-five (45) words per minute.
Responsibilities
- collection and reconciliation of underpayments on managed care contracts
- maintains a log of the current status of underpayments collected
- maintains and continually updates the department training manual
- provides a weekly and a monthly report of collections to the Manager
- completion of projects that are pro-active and focused on problem areas and high cost services to ensure maximum contractual reimbursement
- understanding the reimbursement methods by contract and knowledge of PMMC for contract management reporting
- developing a strong relationship with insurance carriers in order to address multiple underpayments by a given payer
Benefits
- Paid Time Off (start earning PTO on day one of employment)
- Tuition Reimbursement
- Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
- Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
- Life Insurance
- Competitive rates
- Bonuses offered
- Disability Insurance
- Retirement Savings Plan: 403b
- Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
- Bereavement Leave
- Free Parking
- On Campus Dining w/ a 10% discount
- Credit Union w/ teller machines on campus
- Direct Deposit
- Free Wellness Screening
- Free confidential counseling services
- Employee Discount Programs
- Recognition Programs
- Referral Programs
- Tremendous growth opportunities for hard workers!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
