Department:
10291 Revenue Cycle - HB and PB Contract Modeling Payment
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
This position is remote. The schedule is M - F, 40 hours per week, flexible start time.
Major Responsibilities: Review/interpret federal, state, and managed care reimbursement rules and/or contract terms to model and calculate net revenue related to reimbursement of hospital services. Review and monitor contractual allowance calculations and variances in expected reimbursement. Identify origin of overpayments or underpayments or modeling discrepancies and perform routine root cause analysis to identify system and/or contract modeling errors. Liaison/Training - Provide ongoing support and tools for internal and external customers related to Advocate's hospital contracts. Education/Experience Required: Associates degree (or equivalent work experience) with 7+ years of progressive experience within a large hospital or integrated healthcare delivery system in revenue cycle /contract management/healthcare systems Knowledge, Skills & Abilities Required: Strong skills in Microsoft Office suite, including advanced Excel skills Demonstrated, self-directed, results oriented approach to problem-solving Demonstrated ability to build collaborative working relationships Ability to communicate effectively, including presentations to leadership Physical Requirements and Working Conditions: Ability to assist in training and education of other staff Ability to manage multiple priorities Ability to work under pressure and meet deadlines, with overtime as needed. Ability to work independently Ability to handle concurrent work Ability to meet demands of multiple customers.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
