Financial Reimbursement Specialist - Westchester Medical Center Health : Job Details

The Financial Reimbursement Specialist is responsible for providing systems applications and maintenance support to end users in Revenue Integrity and Patient Accounts department for Siemens Contract Management system (SCM). Responsibility involves performing complex financial analysis using SCM to calculate and project revenue and utilization for Hospital services. Other responsibilities would include monitoring hospital in-patient and out-patient payments and identify payment discrepancies. Coordinates system issues with IT or Siemens directly as required. Performs other related work as required. Responsibilities: Responsible for maintaining managed care contracts in contract management system including reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/ Medicaid, Managed Care Commercial, etc,). Validates payment rate calculations and prepares queries and reports from application systems as required. Conducts payment discrepancy analysis compari...Financial, Specialist, Information Technology, Technical Support, Payment, Healthcare, Application