JFK Johnson Rehabilitation Institute · 11 hours ago
MANAGED CARE FINANCIAL ANALYST
Edison, NJ
Contract
Onsite
Entry, Mid Level
$72K/yr - $72K/yr
2+ years expHackensack Meridian Health is dedicated to transforming healthcare and fostering a supportive community. The Managed Care Financial Analyst will collaborate with leadership to monitor payer policies and perform financial analyses to assess revenue impacts, ensuring compliance with managed care contract terms.
Hospital & Health Care
Responsibilities
Review payer policy updates and perform financial valuation for revenue implications
Identify, collect, integrate and analyze data from internal data sources and external sources (i.e. Medicare or Medicaid) by utilizing skills in data preparation, data transformation and data visualization
Prepares statistical and financial data reports to enable management to accurately monitor payer performance
Works with Revenue Cycle operations department and Digital Technical Services (DTS) systems analysts to ensure correct implementation of Managed Care contracts for appropriate reimbursement
Analyzes payer reimbursement to ensure proper claim adjudication, track and report high volume discrepancies
Analyze claims data to perform a root cause analysis surrounding the claim payment discrepancies to isolate if issue is an internal or external pricing issue
Identify areas of concern impacting revenue by closely monitoring financial performance and compliance with managed care contract terms to ensure revenue maximization
Work closely with Managed Care leadership in developing processes and workflows on trends to increase revenue
Perform additional ad hoc projects as assigned
Other duties and/or projects as assigned
Adheres to HMH Organizational competencies and standards of behavior
Qualification
Required
Bachelor's degree or equivalent experience with a High School diploma, general equivalency diploma (GED), and/or GED equivalent programs
Minimum of 2 or more years of relevant experience
Prior experience in Patient Financial Services/Patient Accounting Department or Managed Care Department for a University Medical Center, Hospital, or Health Insurance organization
Knowledge of Managed Care contracts, Medicare and Medicaid
Through knowledge of billing requirements and regulations of major payers
Excellent written and verbal communication skills
Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms
Preferred
Strong analytical skills
Reporting
Epic Reporting Tools such as Reporting Workbench and Slicer Dicer
Benefits
Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits
Company
JFK Johnson Rehabilitation Institute
Offering New Jersey’s most comprehensive rehabilitation services, JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, NJ, serving residents of the tristate area for more than 40 years.
10001+ employees
Funding
Current Stage
Late StageCompany data provided by crunchbase