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A key goal at Lexington Medical Center is attracting and retaining the best and brightest employees. So when we asked our employees what they were looking for in a premier employer, the response was balance. We looked at benefits and provided a comprehensive benefits package, a rich tuition reimbursement program, and retirement plan options. We looked at family friendly programs and provided a state of the art childcare center and an adoption assistance program. We looked at the importance of health and wellness and provided our employees with a wellness center, free annual health screenings and wellness education classes. The result is a hospital that cares about its employees and in turn, the employees care about the patients that they serve.
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Facility:
Lexington Medical Center
Department:
IT/Software Development
Schedule:
Full Time, Employee
Hours:
0
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Managed Care System Analyst
Basic Functions:
Administers all functions related to the Managed Care Departments contract management system (Physician Pro) and provides reports and analytical support related to managed care reimbursement. Provides technical support of system and training for staff, including coordinating problem resolution with information services (IS). Loads and maintains contract terms and rates for negotiated managed care contracts. Ensure integrity of data files within contract management system.
Minimum Qualifications:
- Bachelors degree, business related, plus three years experience in healthcare/finance/managed care environment OR High School Diploma, plus 8 years of healthcare experience in finance or managed care environment
- Experience with mainframe, PC, and network computer systems .
- Proficiency in database and spreadsheet applications (i.e. Microsoft Access or Excel)
- Knowledge of Managed Care operations as it relates to claims processing and reimbursement.
Preferred Qualifications:
- Working knowledge of Patient Financial Services.
- Working knowledge of managed care terminology
- Procedural knowledge of hospital and physician practice accounts receivable management
Working knowledge of billing/coding terminology (ICD-9, CPT, Revenue Codes) Attention to detail; excellent problem solving skills
HR Use Only:
Monster
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