The Revenue Optimization Analyst will serve the System and each Region to support the optimization and protection of net revenue receivables of approximately $2.6B from all contracted payers by performing a financial review of actual versus expected in health plan reimbursement through detailed audits identifying under/overpayments and any other potential opportunities for revenue improvement with contracted payers as well as successfully document results and monitor all activity. This position will work collaboratively with Managed Care, Patient Financial Services, Patient Access, and HIM to develop and implement corrective action plans addressing any deficiencies noted in audits.
Requirements:
Advanced knowledge and experience in applications.
Knowledge of contract analysis, billing office experience with strong financial analytical skills.
Excellent in computer applications, financial and analytical skills with strong preference for individuals with experience and understanding of Meditech and Pathways Contract Management (PCON).
Possesses personal and professional values consistent with those of CHRISTUS Health.
Minimum of five years, ideally seven years, experience in business office processes in healthcare or insurance organizations.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
