- Analyzes and monitors payer trends, managed care contract compliance, contract and payer yield and indicators that reflect new opportunities for revenue or charge capture, operational improvements and increased reimbursement.
- Performs accurate and timely accounts receivable management. Analyzes accounts receivable transactions to ensure compliance with internal controls and accounting policies. Maintains and reconciles accounts receivable ledger and prepares management reports, including reports of delinquent accounts. Analyzes trends in bad debts and recommends improvements to accounts receivable policies and procedures.
- Works closely with all Revenue Cycle Departments and Managed Care. Partners with internal staff to resolve issues related to the revenue stream. Coordinates with departments and insurance companies to correct errors as necessary. Documents and tracks all revenue cycle payer issues. Leads payer contract loads for underpayment recovery.
- Conducts analysis and outcome assessments on issue report. Communicates changes and prepares weekly reports that assist Revenue Cycle leadership.
- Maintains all documentation for the Payer Relations Team within Revenue Cycle to include Revenue Cycle Payer Relations emails via Resource Box in MS Outlook.
- Coordinates payer visits to learn about any portal enhancements, guidelines updates, contract updates. Assists with payer in-service training upon request.
- Audits proper use of account resolution from identification stage through resolution.
- Monitors reimbursement regulations. Maintains knowledge of current legislation concerning HMO appeals on both national and state levels.
- Ensures appropriate coverage for compliance standards and revenue generation. Participates in management and other meetings as necessary. Attends all payer JOC (joint operating committee) meetings and represents the organization at the state level by attending statewide payer teleconference meetings with FHA, CMS, and HFMA.
- Associate degree in relevant field.
- Minimum 5 years of relevant experience
- HFMA CRCR Certification Required
- Ability to exercise sound judgment in making critical decisions.
- Skill in completing assignments accurately and with attention to detail.
- Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
- Ability to work independently and/or in a collaborative environment.
- Ability to communicate effectively in both oral and written form.
- Ability to maintain effective interpersonal relationships.
- Proficiency in computer software (i.e., Microsoft Office)
-
Investor Relations Analyst
7 hours ago
Leeds Professional Resources Doral, United StatesResponsibilities: · - Responsible for maintaining and updating contacts · - Drafting introductory emails for their respective distribution individuals · - Understand and comply with regional marketing regulations · - Maintain calendar and work with project management on forward-l ...
-
Investor Relations Analyst
3 weeks ago
WM Partners LP Aventura, United StatesAbout WM PartnersWM Partners is a middle-market private equity firm specializing in buyout investments in the health and wellness sector. WM Partners seeks to acquire small and medium size businesses with attractive growth prospects and generate sustainable, long-term value throu ...
-
Investor Relations Analyst
2 weeks ago
Leeds Professional Resources Doral, United StatesWe are seeking an investor relations analyst to join our clients team Our client is seeking a candidate with investor relations experience from a private equity firm. · Duties: · Monitoring research and financial news for clients and their peers · Assisting with the planning and ...
-
Analyst, Investor Relations
3 weeks ago
World Fuel Services Doral, United StatesAt World Kinect, our employees are the key to our global success. We are industry leaders due to the innumerable talents of our approximately 5000 strong professional team. Our people thrive in an entrepreneurial and culturally-diverse environment, where innovative thinking, coll ...
-
Revenue Cycle Payer Relations Analyst
3 weeks ago
The University of Miami Doral, United StatesCurrent Employees: · If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please revie ...
-
Revenue Cycle Payer Relations Analyst
1 week ago
University of Miami Doral, United StatesCurrent Employees: · If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here $) · to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please ...
-
Investor Relations Analyst
3 weeks ago
WM Partners, LP Aventura, United StatesAbout WM Partners · WM Partners is a middle-market private equity firm specializing in buyout investments in the health and wellness sector. WM Partners seeks to acquire small and medium size businesses with attractive growth prospects and generate sustainable, long-term value th ...
-
Investor Relations Analyst
2 weeks ago
WM Partners Companies North Miami Beach, United States PermanentAbout WM Partners · WM Partners is a middle-market private equity firm specializing in buyout investments in the health and wellness sector. WM Partners seeks to acquire small and medium size businesses with attractive growth prospects and generate sustainable, long-term value ...
-
Investor Relations Analyst
2 weeks ago
WM Partners LP North Miami Beach, United StatesAbout WM Partners · WM Partners is a middle-market private equity firm specializing in buyout investments in the health and wellness sector. WM Partners seeks to acquire small and medium size businesses with attractive growth prospects and generate sustainable, long-term value t ...
-
Investor Relations Analyst
3 weeks ago
WM Partners LP Aventura, United StatesAbout WM Partners · WM Partners is a middle-market private equity firm specializing in buyout investments in the health and wellness sector. WM Partners seeks to acquire small and medium size businesses with attractive growth prospects and generate sustainable, long-term value th ...
-
Workday Finance Sr. Business Analyst
3 weeks ago
InsideHigherEd Coral Gables, United States Administrative Jobs ,Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Bioinformatics Analyst
3 weeks ago
InsideHigherEd Coral Gables, United StatesCurrent Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Sr. Financial Analyst- Central Finance Office
3 weeks ago
InsideHigherEd Coral Gables, United States Administrative Jobs ,Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Business Systems Analyst 3
3 weeks ago
InsideHigherEd Coral Gables, United States Administrative Jobs ,Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Data Analyst 2
4 days ago
InsideHigherEd Coral Gables, United States Administrative Jobs ,Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Business Intelligence Manager
5 days ago
OneSpaWorld Coral Gables, United States Full timePosition Summary · – Business Intelligence Manager (Insights) · One Spa World is seeking a motivated, experienced, and highly skilled Business Intelligence Manager to join our team. In this role, you will lead a team of insights analysts in identifying business opportunities thr ...
-
Senior Proposal Development Specialist
5 days ago
T-ROC Coral Gables, United StatesPosition Summary: · The Senior Proposal Development Specialist will be responsible for creating compelling proposals and presentations that showcase T-ROC's services and products to potential clients and partners in the retail industry. The ideal candidate will have a deep under ...
-
Quality Management Analyst 3
3 weeks ago
InsideHigherEd Coral Gables, United States OTHERCurrent Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Sr. Database Analyst
3 weeks ago
InsideHigherEd Coral Gables, United States Administrative Jobs ,Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
-
Technical Analyst
3 weeks ago
InsideHigherEd Coral Gables, United StatesCurrent Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review th ...
Revenue Cycle Payer Relations Analyst - Coral Gables, United States - InsideHigherEd
Description
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The Central Business Office has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer Relations Analyst performs analysis, tracks and develops performance improvements to support and enhance processes within the Revenue Cycle Department. This role develops and maintains excellent relations with payers, serves as an expert resource for payer policies, provides accurate and complex data analysis of reimbursement for all payers, and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also collaborate with internal staff to resolve issues related to the revenue stream.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
MINIMUM QUALIFICATIONS
Any appropriate combination of relevant education, experience and/or certifications may be considered.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:Full timeEmployee Type:StaffPay Grade:H9