MANAGED CARE OPERATIONS ANALYST
Camden, NJ Job ID 14490 Job Type Full Time Shift Day Specialty HIM/CodingAt Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Maintain and update Epic and contract management tool (e.g. Strata Jazz) as it relates to contract management and maintenance, be the Subject Matter Expert (SME) for both systems as it relates to contract build.
Troubleshoot and fix Epic and contract management tool as it relates to incorrect contract logic causing claims to process incorrectly; submit help tickets requesting assistance from Epic or contract management tool to correct issues.
Update the team as to accuracy of Epic and contract management tool functionality; develop and maintain contract variance reports for contract inconsistencies.
Knowledge of payor contracting methods and reimbursement processes, particularly as they relate to claim payment and operational administrative issues.
Responsible for updating billing teams with contract documents and being the liaison between Billing and Managed Care.
Develop and maintain reporting and modeling capabilities in both Epic and contract management tool and ensuring both systems are operating at full capacity. Participate in system meetings as offered to learn about new upgrades to systems.
Run ad hoc reports and complete impact analysis as requested. Provide back up support to Business Data Analyst as assigned.
Experience Required
Proficient in Excel, Word, Access, Epic. Experience in hospital/physician business office environment, particularly in a billing or health plan administration capacity, preferred. Must have strong written and verbal communication skills and must be able to work as a team player.
Deadline oriented, having technical capability for Epic contract management maintenance; ability to work independently and in a team environment. Ability to manage multiple complex and concurrent projects.
Education Requirements
B.S. Degree in Data Analytics, Finance, or Healthcare/Business Administration preferred.
License/Certification Requirements
Epic Certification in Resolute Hospital Billing or Resolute Physician Billing.
About the Area
With the help of Cooper, I have obtained my Epic Certification as well as my Masters in Business Administration. Cooper has really been supportive and really helpful in helping me to develop professionally and personally they really believe in a strong work-life balance.
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Cooper in the Community We take our role in the community very seriously. With a mission to serve, to heal and to educate, the Cooper Community Health Outreach Team provides several health education programs, presentations and consultations.
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Benefits We offer a wide range of benefits to ensure that our staff have everything they need to succeed both at work and at home.
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Awards and Designations Cooper University Health Care is recognized by many independent, national organizations for our standards of quality, excellence and safety..
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Military and Veterans Cooper is proud to employ veterans and active military from every branch of the armed services as part of our Cooper team. Their contributions to our organization, our community, and our patients are highly valued and appreciated.
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Education Achieve your academic and professional goals here at Cooper, one of the nation’s top choices for medical, nursing, and allied health professionals.
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Nursing At Cooper, teamwork, respect and professional development are in our DNA. Be part of our team and on the forefront of innovation at the area’s leading academic health system. A Cooper nurse is ready to learn, ready to teach, and above all – ready first.
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