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A leading healthcare services organization offers a supportive role to assist clients with PPS/AMS installations and configurations. The position demands extensive healthcare experience and offers flexible work hours, comprehensive benefits, and opportunities for career advancement.
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $127,200 annually
- Comprehensive benefits package including equity stock purchase and 401k contributions
- Flexible work hours and remote work options available
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative team environment
- Recognition programs that reward performance
What to Expect (Job Responsibilities):
- Provide client support for PPS/AMS, ensuring successful installation, implementation, and configuration
- Utilize analytical skills to solve problems and apply statistical concepts
- Communicate effectively with clients and manage issues through the client ticketing system
- Document client requirements and provide training on PPS product methodology
- Engage with clients remotely to troubleshoot issues and implement necessary updates
What is Required (Qualifications):
- 5+ years of experience working in a healthcare data or regulatory environment
- 3+ years of experience pricing Medicare hospital facility claims (inpatient and outpatient)
- 3+ years with PPS (Prospective Payment Systems) including DRG, APC, OCE, ESRD, CAH, CMG, RUG, or RBRV
- 3+ years of experience with Facility/Hospital claims reimbursement, such as Medicare, Medicaid, or Commercial
- Proficiency with MS Office, including Word, Excel, and PowerPoint
How to Stand Out (Preferred Qualifications):
- Experience with .Net or IIS (Internet Information Services)
- Experience configuring and customizing software solutions
- Health Plan experience, specifically in facility contract configuration, claims, or IT
- SQL experience
- Knowledge of claims systems such as Cognizant Facets, Networx Pricer, QNXT, Health Rules Payer, IKA Claims, Burgess Systems, Epic Tapestry, or 3M
#HealthcareServices #RemoteWork #CareerOpportunity #CompetitivePay #HealthEquity
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."