A Managed Care Finance Analyst is responsible for accurately loading contracts into nThrive system, auditing contract loads, and responding/correcting any loading issues or questions. The position will also work as a liaison with Conifer to aid in the resolution of system adjudication issues within the contract management system. The position will also provide information to Managed Care negotiators regarding the ability to auto-adjudicate contract terms.
5 years of healthcare billing, collection, or other related healthcare experience
Good knowledge of Microsoft Excel
Good knowledge of Patient Accounting Systems
Strong knowledge of Managed Care reimbursement methods
Strong understanding of healthcare revenue and procedure codes
Ability to manage multiple projects with varying priorities while meeting deadlines
Must be able to work with confidential information. Accuracy is essential. Must be detailed oriented
Strong analytical skills, experience with Excel, intermediate understanding of hospital billing codes (i.e. Revenue, CPT-4, HCPCS, ICD-10 codes and etc.), and good knowledge of hospital reimbursement methodologies and contracts.
Primary Location: Anaheim, California
Facility: 963-Santa Ana, CA
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.