65 applicants

Company

Tenet Healthcare · 12 hours ago

Payer Insights Analyst

United States

Full-time

Remote

Entry, Mid Level

$52K/yr - $77K/yr

2+ years exp

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Responsibilities

Apply moderately complex quantitative methods to proactively data mine / interpret data and present the key trends and recommendations to appropriate stakeholders.

Perform high level contract overview to ensure accuracy of contract terms and conditions.

Prepare groups of accounts based on logged information to provide stakeholders with clean actionable issues to drive payer results.

Coordinate efforts with stakeholders to drive changes in auto adjudication, aging and cycle time.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Data analysisHealthcare reimbursementSQLManaged care knowledgeICD-10 codingHealthcare terminologyMicrosoft ExcelRelationship building

Required

Bachelor’s degree required in Healthcare Administration, Business, Computer Science, Mathematics or related discipline

2-4 years working in a managed care or healthcare environment with end-to-end revenue cycle experience

1-2 years experience in analysis of payer trends and proven track record of using data to provide actionable business results

Fluent in data fundamentals: SQL, data manipulation and modeling

Proficient in Microsoft excel, word, powerpoint, and sharepoint

Strong analytical and quantitative skills

Self-starter who can work both independently and collaborate in a team environment

Independent, logical thinker with proven ability to perform detailed data analysis and make sound decisions

Intermediate knowledge of managed care and other healthcare contract language

Intermediate knowledge of healthcare reimbursement and patient accounting principles

Intermediate understanding of ICD-10, HCPCS/CPT coding, medical terminology, hospital billing form requirements (UB-04), and electronic remittance advice (ERA/835) responses

Demonstrated ability to detect patterns in large volumes of data

Strong communication skills (verbal and written)

Strong relationship building and collaboration skills

Capability to multi-task, be organized, and meet critical deadlines

Preferred

Healthcare and/or revenue cycle experience in a provider, servicer or a large physician-practice experience a plus

Benefits

Medical, dental, vision, disability, life, and business travel insurance

Paid time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.

401k with up to 6% employer match

10 paid holidays per year

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.