A Sr. Managed CareFinance Analyst is responsible for accurately loading contracts into nThrivesystem, auditing contract loads, and responding/correcting any loading issuesor questions. The position will also work as a liaison with Conifer to aid inthe resolution of system adjudication issues within the contract managementsystem. The position will also provide information to Managed Care negotiatorsregarding the ability to auto-adjudicate contract terms. The ideal candidatewould need to work as leader in the operations dept. often taking on additionalwork to ensure deadlines are met.
5+ years of healthcare billing, collection, or other related healthcare experience
5+ years of financial analysis, preferably in healthcare
Strong Microsoft Excel knowledge
Good knowledge of Patient Accounting Systems
Strong knowledge of Managed Care reimbursement methods
Strong understanding of healthcare revenue and procedure codes
Hospital Medical Coding a plus but not required
Ability to manage multiple projects with varying priorities while meeting deadlines
Must be able to work with confidential information. Accuracy is essential. Must be detailed oriented
Strong analyticalskills, experience with Excel, basic understanding of hospital billing codes(i.e. Revenue, CPT-4, HCPCS, ICD-10 codes and etc.), and good knowledge ofhospital reimbursement methodologies and contracts.
Primary Location: Anaheim, California
Facility: 963-Santa Ana, CA
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâs or employeeâs race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.