What are the responsibilities and job description for the Payer Contract and Reimbursement Analyst position at Lexington Medical Center?
Managed Care & Payer Relations
Full Time
Day Shift
8
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care.
Job Summary
Administers all functions related to the Managed Care Department's contract management system including maintaining data feeds from hospital and physician practice source systems to payer contract management systems, maintaining payer rate schedules within the contract management system, and developing key financial tracking reports.
Minimum Qualifications
- Minimum Education: High School Diploma or Equivalent
- Minimum Years of Experience: 8 Years of healthcare experience in finance or manage care environment
- Substitutable Education & Experience: 8 Years of experience can be substituted for a Bachelor’s degree in a business related field and 3 years of experience in healthcare/finance/managed care environment
- Required Certifications/Licensure: None.
- Required Training: Knowledge of relational database systems; Experience in database, spreadsheet, and word processing applications; Working knowledge of managed care reimbursement methodologies (i.e. DRG, per diem, fee schedule, APC); Procedural knowledge of hospital and physician practice accounts receivable management; Working knowledge of billing/coding terminology (i.e. ICD-9, CPT, Revenue codes).
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
- Day ONE medical, dental and life insurance benefits
- Health care and dependent care flexible spending accounts (FSAs)
- Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
- Employer paid life insurance – equal to 1x salary
- Employee may elect supplemental life insurance with low cost premiums up to 3x salary
- Adoption assistance
- LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
- Tuition reimbursement
- Student loan forgiveness
Equal Opportunity Employer
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
