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Analyst - Managed Care

Company: Ascension
Location: Wichita
Posted on: June 14, 2019

Job Description:

We Are Hiring Analyst-Managed Care - Administration - Full-Time, Rotating - Via Christi Health - Wichita, KSMonday - Friday 8:00 a.m. - 5:00 p.m.Why Join Ascension? Via Christi Health, a part of Ascension, is the largest healthcare provider in the state of Kansas. The ministry operates a network of hospitals, home care services, clinics, ambulatory surgery centers, imaging centers, and other health services. We provide care in 22 cities; and employ approximately 6,300 employees. What Via Christi Health offers:

  • Power of Purpose: For us, work is more than the place we go each day. It's an environment that nurtures relationships, connects talent, and understands patients so we can provide holistic care that treats the whole person: body, mind and spirit. Our innovative approach impacts and influences the community that we serve.
  • Culture of Teamwork: We encourage diversity of talents while offering the support of a multi-disciplinary team.
  • Professional Development: By supporting our associates and their professional development, we ultimately enhance the care and services we provide to the community. Through this development, our associates find new opportunities for career advancement.
  • Compensation/Benefits: Via Christi Health offers a comprehensive benefit package inclusive of medical, dental, vision, retirement, and generous PTO. Associates can also take advantage of other great benefits like tuition reimbursement or adoption assistance.
  • Leading with Mission: Our Mission, Vision, and Values guide everything we do at Ascension. They are foundational to our work to transform healthcare and express our priorities when providing care and services, particularly to those most in need. What You Will Do As an Associate with Via Christi Health, you will have the opportunity to track and trend claims and payments per managed care contracts. Work to facilitate appropriate and timely claims payments.Responsibilities:
    • Identifies compliance issues related to each contract; prepares reports to be presented to the payer with the total amount due. Calculates interest payments due.
    • Analyzes claims and payment data to identify trends in denied or underpaid claims. Works with appropriate staff and payers to resolve issues and facilitate payment.
    • Reviews language of managed care contracts. Participates in negotiations as assigned. Coordinates contract processing through legal review and execution.
    • Analyzes financial results and related information. Compares to projections. Provides reports to appropriate parties.
    • Develops and generates regular and ad hoc reports for clinical and financial review and trending in order to analyze and compare information related to clinical procedures, payer categories, reimbursements, net income, net loss charges, costs, revenue and variances.What You Will Need Education:
      • Diploma
        • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required Work Experience:
          • None required.
          • Patient billing experience and good interpersonal skills in dealing with payer reps preferred.Equal Employment Opportunity Via Christi Health is an Equal Employment Opportunity (EEO) and Affirmative Action employer. Applicants receive fair and impartial consideration without regard to race, sex, sexual orientation, gender identity, color, religion, national origin, age, disability, veteran status, genetic data, or other legally protected status. Please see the link below for more information. EEO is the Law Poster Supplement Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.E-Verify Statement Ascension Health - VIA Christi participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E -Verify (link to E-verify site)

Keywords: Ascension, Wichita , Analyst - Managed Care, Professions , Wichita, Kansas

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