Catholic Health Initiatives PAYER RELATIONS ANALYST - McAuley Center - FT 1.0 Days in OMAHA, Nebraska

PAYER RELATIONS ANALYST - McAuley Center - FT 1.0 Days

Description

CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 15 hospitals, two stand-alone behavioral health facilities and more than 150 employed physician practice locations in Nebraska and southwestern Iowa. More than 12,000 employees comprise the workforce of this network that includes 2,820 licensed beds and serves as the primary teaching partner of Creighton University’s health sciences schools. In fiscal year 2014, the organization provided a combined $149.3 million in quantified community benefit including services for the poor, free clinics, education and research. With locations stretching from Kearney, Neb. to Missouri Valley, Iowa, the health network is the largest in Nebraska and serves residents of Nebraska and southwest Iowa. For more information, visit online at CHIhealth.

ESSENTIAL JOB RESPONSIBILITIES

· Serve as the Nebraska physician enterprise expert on federal and state regulations and payer guidelines, preparing presentations for leadership as needed. (Includes: rural health clinics, telemedicine, preventive services. Behavioral Health Services, etc.)

· Research government and payer reimbursement guidelines for new products for services for the physician enterprise.

· Work collaboratively with the revenue cycle team, UniNet to analysis coding/billing guidelines to assist with denial resolution and maximization of reimbursement.

· Develop and maintain a communication site to assure physician enterprise has timely and consistent information.

Qualifications

MINIMUM QUALIFICATIONS

Required Education and Licensure

  • Bachelor’s degree in Healthcare Administration, Business, Finance or related field

Required Minimum Experience

  • Minimum 4 years related healthcare work experience (including data management and analysis)

Bona Fide Occupational Qualifications (BFOQs)

  • List as applicable or N/A if no BFOQs exist

Preferred Qualifications

  • CPC-P or CPC certification preferred

Minimum Knowledge, Skills, and Abilities

  • Demonstrated ability to set and maintain multiple priorities in an environment with shifting priorities, while providing accurate deliverables in a timely fashion

  • Must be self-motivated, and able to take ownership of projects/assignments

  • Must be a team player with excellent follow-up and customer service skills

  • Strong interpersonal, verbal, and writing skills

  • Interpersonal skills in dealing with guests and team members

  • Extensive working knowledge of physician billing systems for governmental, managed care, and commercial payers.

  • Working knowledge of Microsoft Office software applications

Job Finance

Primary Location NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG

Daily Schedule M-F Days

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0120581