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Contract Modeling Analyst jobs in United States
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CommonSpirit Health · 22 hours ago

Contract Modeling Analyst

CommonSpirit Health is one of the nation’s largest nonprofit Catholic healthcare organizations, delivering integrated health services. The Contract Modeling Analyst is responsible for building and testing contract modeling calculations that impact financial statements and ensure accurate reimbursement calculations within the Revenue Cycle system.
Non ProfitHealthcareHealth CareMedical

Responsibilities

Reimbursement Calculation/Contract build/modeling – (Business critical maintenance) – Input and maintenance of Payor contracts to calculate net expected reimbursement and applies the contractual adjustment at the time of billing. For Meditech and/or PCON, Epic, PIC
Ensures accurate and timely maintenance of reimbursement calculation in system dictionaries and tables, based on collaboration with Payor Strategy and RRC management
Interprets managed care contracts and government reimbursement methodologies in order to correctly create the contract modeling calculation
Ensure thorough testing of all new and existing entries into the Contract Modeling/Revenue Cycle system to confirm accurate calculations for netting down AR at time of billing
Assists or works directly with other business partners as it relates to managed care contracts and government reimbursement changes that impact expected payment

Qualification

Contract modelingHealthcare reimbursement methodologiesRevenue Cycle experiencePatient Financial ServicesBachelor’s DegreeHospital Billing Certification

Required

Bachelor's Degree preferred
Three to five years of related Revenue Cycle application experience in contract modeling and/or experience in Patient Financial Services or Finance preferred
Must have extensive experience and knowledge with healthcare reimbursement methodologies and concepts

Preferred

Hospital Billing Expected Reimbursement Contracts Certification

Company

CommonSpirit Health

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Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Funding

Current Stage
Late Stage

Leadership Team

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Wright Lassiter
Chief Executive Officer
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Christine Brocato
System VP, Strategic Innovation
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Company data provided by crunchbase