Summary

Provides analytical support related to reimbursement to all levels of the organization. Assists hospital Business Offices in working payment variances in a timely manner. Assists with month end close process for Managed Care. Works to support the system in regards to insurance master structure and maintenance. Completes assigned goals.

Responsibilities

• Using EPIC contract modeling software, create and maintain complete and accurate reimbursement models based on payer agreements including Medicare, Medicaid, Blue Cross, and other payors.

• Perform extensive review, analysis and interpretation of contract modeling results. Research, explain and correct inconsistencies within the contract models.

• Support contract negotiations using contract modeling software to evaluate and create reimbursement proposals.

• Maintain collaborative relationships with Managed Care Contracting and Patient Accounting share information regarding payor financial arrangements and contract models.

• Research and understand Medicare, Medicaid and commercial payment methodologies and industry developments. Progress in knowledge of healthcare payment methodologies and contract modeling.

• Maintain Insurance master file for entire system

Requirements, Preferences and Experience

Education

Preferred: MBA

Minimum: Bachelors Degree in Finance, Accounting, or related field, or equivalent combination of education and experience.

Experience

Minimum: One (1) year of experience in a related field.

Special Skills

Minimum: Excellent communication skills and demonstrated ability to interact with multiple levels within an organization.

Training

Preferred: Epic HB Contracts Module Pathways Contract Management (PCON) experience.

Minimum: Expert level Excel, including using pivot table, and slicers.

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer:

• Competitive salaries

• Paid vacation/time off

• Continuing education opportunities

• Generous retirement plan

• Health insurance, including dental and vision

• Sick leave

• Service awards

• Free parking

• Short-term disability

• Life insurance

• Health care and dependent care spending accounts

• Education assistance/continuing education

• Employee referral program

Job Summary:

Position: 13809 - Analyst-Business I

Facility: BMHCC Corporate Office

Department: Revenue Cycle-Rev Enhancement

Category: Finance and Accounting

Type: Non Clinical

Work Type: Full Time

Work Schedule: Days

Location: US:TN:Memphis

Located in the Memphis metro area REQNUMBER: 18246