Medicare Part B Pricing Specialist — Reimbursement Expert

HCSC; Albuquerque (NM); On-site; USD 48,000 - 86,000; Full time

Benefits offered by this job

401(k)

Tuition reimbursement

Paid time off

Disability insurance

Life insurance

Job summary

HCSC in Albuquerque, NM is seeking a technical lead to define and implement Medicare Part B reimbursement methodologies. The role focuses on CMS pricing procedures, IH S Fi processes, and distributing rates to staff for pricing decisions.

The ideal candidate has a math/statistics/computer science background or equivalent health care experience, plus data analysis skills and knowledge of healthcare reimbursement.

Qualifications

• Bachelor degree or 4 years experience in health care industry.
• 1 year experience with databases and data analysis.
• Knowledge of healthcare finance and reimbursement methodologies.

Responsibilities

• Define and implement CMS Part B reimbursement rates.
• Monitor Part B pricing procedures and impacts on IH S Fi processes.
• Obtain current Medicare rates and coordinate loading/distribution to staff.

Skills

Data analysis

Verbal and written communication

Self-starting

Math skills

Education

Bachelor degree in Math, Statistics, or Computer Science

Tools

Access

Excel

Job description

HCSC in Albuquerque, NM is seeking a technical lead to define and implement Medicare Part B reimbursement methodologies. The role focuses on CMS pricing procedures, IH S Fi processes, and distributing rates to staff for pricing decisions.

The ideal candidate has a math/statistics/computer science background or equivalent health care experience, plus data analysis skills and knowledge of healthcare reimbursement.