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Payment Policy Analyst I - Source
Company | HealthEdge |
Address | United States |
Employment type | FULL_TIME |
Salary | |
Category | IT Services and IT Consulting,Software Development,Hospitals and Health Care |
Expires | 2023-08-20 |
Posted at | 9 months ago |
Overview
- Create detailed and accurate Excel formulas to explain and prove complex payment methodologies.
- Develop accurate and comprehensive test claims for Developers, UAT and QA.
- Develop and maintain proficiency in the Company’s products (software, data) and services, including commercial contracting features as related to the specific area(s) assigned.
- Coordinate with developers, QA, data, client service and other team members to ensure that business requirements are implemented accurately and timely
- Read and analyze Medicare/Medicaid data and policy, including proposed and final rules, daily transmittals, bulletins, policy manual updates, physician fee schedule (data file). Contact various government entities to clarify new and existing policy.
- Become familiar in assigned Provider Payment Systems like APC, DRG, RBRVS.
- Interpret and deliver business requirements covering reimbursement updates and payment policy changes and enhancement features for translation into software design specifications.
- Ability to collect, research, and understand diverse information, and translate it into clear and concise written requirements.
- Ability to effectively communicate and collaborate with diverse internal and external stakeholder groups and individuals.
- Bachelor’s degree in a healthcare or comparable field.
- 1-3 years professional experience in healthcare, and working knowledge of health care reimbursement systems and methodologies
- Ability to plan, prioritize, and balance the need for direction with self-motivated efforts.
- Strong interpersonal skills
- Experience in an agile systems development life cycle (SDLC) environment.
- Experience using MS Office (Word, Excel, PowerPoint, Visio, Access) software applications
- Experience using various Web-based and other research sources and tools
- May require travel dependent on company needs.
- Long periods of time sitting and/or standing in front of a computer using video technology.
- The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
- Work across multiple time zones in a hybrid or remote work environment.
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