Spectrum Health Reimbursement Analyst (Priority Health) in Grand Rapids, Michigan
Facility: Priority Health - GRAND RAPIDS, MI
Department: Ph-Provider Reimbursement
Classification: Full-time with Benefits (A1)
Gathers and analyzes financial information in accordance with the provider's negotiated contract to determine correct configuration of the claims payment system(s). Knowledge of facility and physician reimbursement methods will be combined with data analysis and business decision-making abilities to determine correct configuration. Analyst will take the lead, and serve as a liaison on problem resolution for internal and external customers.
Education - Associate's Degree or equivalent in Emphasis in health care, business management (or equivalent combination of education and experience)
Experience - 3 years of experience typically gained through skills/knowledge/abilities in Knowledge of FACETS and OnBase 3 years of experience typically gained through skills/knowledge/abilities in Knowledge of provider reimbursement methods and concepts (Medicare, Medicaid, Commercial) and industry standard pricing guidelines 3 years of experience typically gained through skills/knowledge/abilities in Experience in Microsoft applications including Word, PowerPoint, Excel
Experience - 1 year of experience typically gained through skills/knowledge/abilities in facilities and professional billing
Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category.