Managed Care Contract Analyst chez Lake Charles Memorial Health System
Lake Charles Memorial Health System · Lake Charles, États-Unis d'Amérique · Onsite
- Professional
- Bureau à Lake Charles
Lake Charles Memorial Health System is committed to investing in the excellence of our employees by providing competitive compensation, professional growth, and exceptional benefits. We strive to foster an employee-focused culture. As a major teaching facility we offer learning and mentoring opportunities as well as programs to promote employee well-being.
We want the most qualified people to be part of our extraordinary team. Whether your objective is to find a career in nursing, information technology, management or clerical, Lake Charles Memorial Health System has the opportunities you are looking for. Memorial offers its employees medical, dental & vision insurance, flexible spending accounts, retirement options, paid time off, tuition assistance & much more to attract and retain employees.
Join us. Become part of our team. Take a look at our job openings and see all of the inspiring possibilities that await you at Lake Charles Memorial Health System.
We place a high value on our employees. We attract talented people who thrive in a team environment, recognize the importance of accountability and strive to exceed our patient's expectations.
Managed Care Contract Analyst
Department: Revenue Management Location: Lake Charles, LADESCRIPTION OF POSITION:
- The Managed Care Contract Analyst works with Facility Information Systems and Health Information Management to extract the data necessary to perform ongoing analysis of all account-based, reimbursement transactions for accuracy.
SUPERVISION: Reports directly to the Director of Revenue Management
RESPONSIBILITIES AND DUTIES:
- Proficient in payment review systems, hospital information systems and coding methodologies.
- Ability to understand and interpret medical records, hospital bills, and the charge master.
- Ability to understand all ancillary department functions.
- Ability to effectively negotiate with insurance carrier representatives and customers.
- Analyzing managed care contracts and reconciling to payments received.
- Effective utilization of all internal automation and software applications.
- Successfully collecting underpayments from insurance carriers.
- Accurately and consistently documenting the results of all audits in the hospital information system.
- Making monthly observations and recommendations to prevent future cash losses.
- Demonstrates ability to effectively manage multiple projects with innovation, creativity, and vision.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
EDUCATION AND WORK EXPERIENCE
- Bachelor Degree or 2-4 year degree (or equivalent working experience) in healthcare related field preferred.
- Experience with PCs, word processing, spreadsheet, graphics, and database software applications are desired. Previous auditing experience preferred.
- Ability to read, write and speak intelligible English; Strong quantitative, analytical, and organizational skills; Ability to communicate orally and in written form. Must be detail oriented.
- Requires emotional stability and maturity; Must be adaptable to change, be decisive, and demonstrate foresight; Exhibits organizational and leadership ability. Must be team oriented with strong interpersonal skills.
Physical Demands/Work Environment
- Work requires light duty lifting.
- Must be able to remain in a stationary position 50% of the time.
- Constantly operates a computer and other office machinery such as calculator, copy machine, and computer printer.
- Must be able to exchange accurate information with patient, family, peers and medical personnel.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
�Experience Memorial� is more than a slogan, it�s the care we provide our patients and it�s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.
Working at Lake Charles Memorial Health System | Great Place To Work�
© 2025 Lake Charles Memorial Health System
