Offer summary

Qualifications:

Bachelor's degree in Healthcare, Finance, or related field., Knowledge of Government and Commercial Payer Reimbursement Methodologies., Strong analytical, modeling, and data interpretation skills., Excellent communication skills and ability to work independently..

Key responsibilities:

Analyze and model contractual data within Contract Management software.

Review and interpret payer contracts and related documentation.

Identify and communicate errors in contract calculations.

Explain payer reimbursement methodologies clearly to clients.

CPSI is a leading provider of healthcare solutions and services for community hospitals, their clinics and post-acute care facilities. Founded in 1979, CPSI is the parent of four companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, TruCode, LLC, and iNetXperts, Corp. d/b/a Get Real Health. Our combined companies are focused on helping improve the health of the communities we serve, connecting communities for a better patient care experience, and improving the financial operations of our customers. Evident provides comprehensive EHR solutions for community hospitals and their affiliated clinics. American HealthTech is one of the nation’s largest providers of EHR solutions and services for post-acute care facilities. TruBridge focuses on providing business, consulting and managed IT services, along with its complete RCM solution, for all care settings. Get Real Health focuses on solutions aimed at improving patient engagement for individuals and healthcare providers. TruCode provides medical coding software that enables complete and accurate code assignment for optimal reimbursement. For more information, visit www.cpsi.com.

Job description

Responsibilities:

Performs analysis, modeling, and data generation within Contract Management software using client provided contractual information.
Reviews and interprets payer contracts and associated documentation to ensure accurate modeling.
Proactively identifies errors within the Contract Management software’s calculations of contractual variances.
Communicates any issues associated with the modeling of the contracts to the appropriate team members or client contacts.
Must be able to articulate the various payer reimbursement methodologies in a way that clients can understand.
Other duties as assigned.

Minimum Requirements:

Education/Experience/Certification Requirements

Knowledge of Government and Commercial Payer Reimbursement Methodologies
High degree of self-motivation, strong organizational skills, ability to positively represent the company.
Above average oral and written communication skills, can work independently and has a high degree of critical thinking skills
4-year degree in Healthcare or Finance or equivalent experience

Business Support

Required profile