What are the responsibilities and job description for the Managed Care System Analyst position at C0099 Franciscan Corporate?
Work From Home - Central Indiana Work From Home Work From Home, Indiana 46544 WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. POSITION OVERVIEW The Managed Care System Analyst is critical in performing ongoing analysis of all account-based, reimbursement transactions for accuracy. The role also analyzes Facility Managed Care contracts, reconciles to payments received and makes recommendations to prevent future cash losses. WHAT YOU CAN EXPECT Work with Facility Information Systems and Health Information Management to extract the data necessary to perform ongoing analysis of all account-based, reimbursement transactions for accuracy. Make recommendations to prevent future cash losses. Analyze Facility Managed Care contracts and reconcile to payments received. Contact insurance companies to have adjustments processed if payments are not in accordance with the contract. Identify, analyze and recommend improvement to existing business processes within the department for optimization and quality advancement. Conduct effective negotiation with insurance carriers and those we are privileged to serve. Identify and recapture underpayments from payers that have paid incorrectly. QUALIFICATIONS Required High School Diploma/GED Bachelor's Degree - Preferred 4 years Healthcare related field - Preferred 1 year Auditing - Required TRAVEL IS REQUIRED: Never or Rarely JOB RANGE: INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
