Reimbursement Contract Analyst - Decision Support

Freeman Health System; United States; On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

Retirement with employer match

Wellness program

Job summary

Freeman Health System is seeking a Contract Analyst to build accurate payment rules, model contracts, and audit underpayments in our hospital and professional billing. You will work with Epic/Strata, interpret terms with Managed Care and Revenue Cycle, and develop projects independently.

The role requires a BS in Accounting/Finance or equivalent and strong knowledge of payor contracts, with Epic Contract Management certification or willingness to obtain. Located in a hospital setting.

Qualifications

• Bachelor of Science in Accounting, Finance or equivalent or at least 3 years of experience in healthcare reimbursement or contract analysis.
• Strong understanding of payor contract terms, fee schedules, reimbursement methodologies.
• EPIC Contract Management certification or willingness to obtain.
• Ability to use Excel and communicate appropriately.

Responsibilities

• Builds accurate expected payment rules in EPIC and Strata for Hospital and Professional Billing.
• Updates contracts as needed based upon payor changes or renegotiations.
• Models new contracts for reimbursement changes.
• Audits underpayments and assists in the collection process as needed.
• Report writing out of Epic and Strata software systems.
• Works closely with Managed Care and Revenue Cycle to interpret contract terms and implement changes.
• Serves as an expert in building contracts out of EPIC.
• Identifies trends and presents findings.

Skills

Excel

Payor contracts

Contract analysis

Communication

EPIC Contract Management

Education

Bachelors in Accounting/Finance or equivalent

Tools

EPIC

Strata

Job description

Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Schedule: Full Time Monday - Friday

What You’ll Do

• Builds accurate expected payment rules in our EPIC and Strata software systems.
• Models new contracts for reimbursement changes.
• Audits underpayments and assists in the collection process as needed.
• Report writing out of Epic and Strata software systems.
• Communicates the information to the appropriate people and works with them as needed.
• Works independently.

Responsibilities

• Builds accurate expected payment rules in our EPIC and Strata software system for Hospital and Professional Billing.
• Updates contracts as needed based upon payor changes or renegotiations.
• Models’ new contracts for reimbursement changes.
• Audits underpayments and assists in the collection process as needed.
• Report writing out of Epic and Strata software systems.
• Works closely with Managed Care and Revenue Cycle to interpret contract terms and implement changes.
• Serves as an expert in building contracts out of EPIC.
• Works independently and develops own projects Compiles and analyzes financial information for an organization, so we can assure resources for serving our patients
• Identifies trends and developments in competitive environments and presents findings.

Requirements

• Bachelor of Science in Accounting, Finance or equivalent or at least 3 years of experience in the field of healthcare reimbursement or contract analysis or in a related area.
• Strong understanding of payor contract terms, fee schedules, reimbursement methodologies.
• EPIC Contract Management certification or willingness to obtain.
• Ability to use excel and communicate appropriately.

Freeman Perks and Programs

For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!

• Health, vision, dental insurance
• Retirement with employer match
• Wellness program with discounts to Health Insurance or Cash Bonus with Participation
• Milestone payments with longevity of employment
• Paid Time Off (PTO) or Flex time off (FTO)
• Extended Sick pay
• Learning Center designated only for Freeman Family members
• Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.

Locally owned and nationally recognized, Freeman Health System is a not-for-profit health system serving communities across Missouri, Arkansas, Oklahoma, and Kansas through a network of hospitals, physician clinics, outpatient locations, and specialty services. The system includes Freeman Hospital West, Freeman Hospital East, Freeman Neosho Hospital, and the Freeman Health System facilities in Bentonville, Springdale, Willow Creek, and Siloam Springs. Freeman Health System also operates Ozark Center – the region’s largest provider of behavioral health services, and offers comprehensive cancer, cardiology, neurology and neurosurgery, orthopedics, and women’s and children’s services. The system is supported by more than 7,000 employees and is the only Children’s Miracle Network Hospital in a 70-mile radius. For more information, visit Freeman Health System.