Financial & Reimbursement Consultant

TITLE: Financial & Reimbursement Consultant
Location: Buckeye Lake, OH
 
Now is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you.
They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values.
They’re nestled in a beautiful rural setting but close enough to the big city to enjoy that too!
If that sounds like the change you are looking for, please read on…

What you’ll be doing:
•Maintains accurate third party payer reimbursement modeling and contract maintenance systems. 
Verifies reporting from such systems in order to provide accurate, high quality information pertaining to contract management outcomes as needed for financial and other analysis.
Provides tracking and analysis of quality measures present in reimbursement contracts.
ESSENTIAL DUTIES
•Tracks and analyzes system performance on contract requirements such as quality scorecards
•Completes contract modeling, performance reporting, and maintenance within Epic
•Performs investigation and analysis of assigned work queues within Epic.
•Assists with new payer/plan build and design within Epic.
•Negotiates payment on individual non-network cases.
•Assists with third party payer reimbursement communications and is the liaison to all hospital departments and outside entities that have business with the Financial & Reimbursement Services department.
•Provides support to the Managed Care team by converting data into information.
•Supports all hospital departments with reimbursement methodology, contract language knowledge, and proper identification of third-party payers during registration.
•Develops and maintains documentation and procedures, as needed, to provide training to other staff.
•Functions as primary resource dedicated to designing, building, testing, and activating the contract management information systems. These include Epic Hospital Billing and any other contract management system.
•Responsible for resolving Epic expected reimbursement system functionality issues via assigned Footprints tickets.
•Documents and maintains all required contract management system design, build and change documents.
•Contributes to testing of all contract management systems to ensure proper system configuration.
•Works with all contract management system vendors to resolve issues/problems in a timely manner.
•Effectively utilizes project tools, technologies and methodologies to provide clear and concise documentation/communication (i.e. project tracking, weekly reports, etc.).
•Maintains open communications with functional area manager/director regarding projects and systems issues.
•Prioritizes and schedules projects and resources.
Additional info:
•Position will report to the Director whom is well respected within the organization. 
•If you're a passionate Financial & Reimbursement Consultant and seeking a rewarding career in a collaborative healthcare setting, this is the opportunity you've been waiting for. Join us in east central Ohio, and become part of our exceptional team dedicated to delivering high-quality care to our community. Apply now and embark on a fulfilling career journey with us.

What they’re looking for:
•Bachelor’s degree in Accounting, Business Administration, Healthcare, or related area or equivalent experience with reimbursement methodologies, contract language, and adjudication of claims.
•Ability to read and write in order to understand, explain, or describe moderately complex information.
•Strong verbal and written communication, problem solving and critical thinking skills.
•Ability to independently prioritize and focus on multiple tasks concurrently.
•Strong PC skills in Word, Excel, Lotus Notes, and Windows applications.
•Appropriate EPIC certification to be obtained within provided timeline, if EPIC certifications are not already obtained. 

Hours and compensation potential:
•The position is full time. 
•The range starts at $30.27hr and goes up with experience. 
•Full benefits package being offered.