Baptist Memorial Health Care Coordinator-Payer Relations in Memphis, Tennessee

Reviews, reports and processes information, policies, and programs across all payers. Understands healthcare reimbursement methodology, including fee for service, per diem, DRG, APC, fee schedule, risk, Medicare, based and ACO arrangements. Knowledgeable of health benefit plan designs, including PPO, CDHP, POS, EPO and HMO. Applies appropriate business and legal protocol for contracting services to ensure compliance with organizational and departmental missions. Presents new programs within payers that are available to leadership.

DescriptionMinimum RequiredPreferred / Desired

Experience

One to two years experience in health-care contracting.One to two yearsThree or more years

Education

Bachelor's Degree in Business, Finance or related field or equivalent experience.Bachelor Degree

Training

Proficient computer skills with emphasis on database creation and management.Excellent computer skills, excellent verbal and written communication.

Special Skills

Understanding of general principals of health-care reimbursement and familiarity with the health insurance industry.Managed Care and government contracting knowledge.Managed Care and government contracting/negotiating experience.

Licensure

Lawson Position Code #: 50000259

Department Name: MG BMG CBO

External Company Name: Baptist Memorial Health Care Corporation

External Company URL: http://www.baptistonline.org

Street: 965 Ridgelake