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Financial Data Analyst

Company: Community Hospital Corporation
Location: Plano
Posted on: January 15, 2022

Job Description:

The Financial Analyst position provides analytical support to the Revenue Integrity and Health Plan Contracting functions through project management, data and financial analyses, health plan contract process management, and assistance with chargemaster, charge capture and pricing projects. Will support both the Vice President of Revenue Integrity, Vice President of Health Plan Contracting, and other assignments as directed by the SVP Hospital Financial Operations.Major ResponsibilitiesHealth Plan Contracting

  • Serve as a resource on managed care matters to hospital personnel
  • Model the impact of proposed rates and terms and present to hospital and corporate management prior to contract finalization
  • Assist in negotiations with payers regarding terms and rates and prepare contracts for final signature
  • Periodically review hospitals monthly contractual adjustment computations for accuracy and compliance with policies
  • Audit payments received from managed care companies to ensure accuracy at each hospital against contract terms
  • Complete credentialing and recredentialing applications for client hospitalsRevenue Integrity
    • Serve as a resource to research charge compliance related questions from hospital personnel.
    • Assist on chargemaster code compliance review projects by preparing and analyzing data, conducting meetings with hospital department managers and creating final work products.
    • Perform data analyses and manipulation related to strategic pricing projects.
    • Assist in conducting current state charge capture assessments and documenting accordingly.
    • Perform the research and functions necessary to assist hospitals in maintaining compliance with quarterly and annual code updates.General Duties
      • Upholds and supports the company's mission, vision, and values
      • Participate in seminars and conferences to stay current on technical and legal developments
      • Perform other miscellaneous job-related duties as assigned by the Vice President of Revenue Integrity and the Vice President of Health Plan Contracting.BenefitsComprehensive health and welfare benefits package is offered as part of total compensation.
        • Health Care Plan (Medical, Dental & Vision)
        • Retirement Plan (401k, IRA)
        • Life Insurance (Basic, Voluntary & AD&D)
        • Paid Time Off (Vacation, Sick & Public Holidays)
        • Wellness Resources and other benefits In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) and company policy, CHC and its affiliate companies require all employees to provide proof of full Covid-19 vaccination or have an approved medical or religious accommodation as a condition of employment. As a result, these conditions must be met by the first date of employment.CHC is a tobacco and drug free workplace. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.Job Requirements:
          • BBA or BS Degree
          • Minimum of one year experience in finance, with healthcare financial operations experience a preference
          • Health plan contracting and chargemaster and/or coding experience preferred.
          • Experience in completing moderately complex data analyses using Excel required
          • Experience using SQL to write queries for the purpose of extracting data in Excel from large patient accounting systemsSkills and Knowledge
            • Ability to define and prioritize specific realistic, goals and objectives
            • Ability to identify, analyze and effectively resolve operational and administrative problems
            • Ability to work independently and manage multiple projects simultaneously
            • Ability to be trustworthy
            • Ability to professionally and successfully interact with a variety of internal and external parties
            • Communicates openly and in a timely way
            • Shares information appropriately
            • Keeps others well informed
            • Encourages others to share contrary views
            • Responds in a timely manner to messages/requests
            • Possesses a core set of ethical values
            • Negotiation skills
            • Knowledge of hospital revenue cycle and the impact of such operations on hospital reimbursement
            • Knowledge of hospital and physician health plan contracts, and the impact of such contracts on hospital operations
            • Knowledge of all types of healthcare payer sources such as commercial, governmental, workers compensation and others
            • Proficient understanding and application of the concepts and terminology unique to the healthcare industry
            • Proficient PC skills, including Microsoft Word and Excel

Keywords: Community Hospital Corporation, Plano , Financial Data Analyst, Professions , Plano, Texas

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