Hawaii Pacific Health Analyst - Contracts and Reimbursement in Honolulu, Hawaii

Job Description

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

The Contracts and Reimbursement team works with Business Services, Admitting, Finance, Case Management, Clinical Departments and payors to facilitate recovery of payor accounts and enhance payor relations. These dedicated professionals negotiate and maintain contracts with third party payors, review and process contract documents, transfer payor terms and conditions into the appropriate reimbursement system, and conduct analysis and reporting on payor activity.

As a Contracts Analyst, you will assist the Contracts Managers with various projects and assignments which include facilitating the recovery of problem payor accounts as appropriate, communicating contract provisions internally, and enhancing payor relations to maximize allowable payor reimbursement. We are looking for someone with excellent business and communication skills who shares our commitment to delivering the highest quality health care to Hawai‘i’s people.

Location: Hawaii Pacific Health, Honolulu, HI

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: No

Minimum Qualifications: Bachelor’s Degree or equivalent combination of education, training and experience. Two (2) years of experience in health care billing, coding, or reimbursement. Familiarity with ICD, CPT, HCPCS and DRG codes, billing and payment systems, eligibility, benefits and authorizations, and payor plans.

Preferred Qualifications: Extensive knowledge of Word, Excel, and PowerPoint applications. Previous work experience in a hospital, clinic, or payor setting.

EOE/AA/Disabled/Vets

Position Analyst - Contracts and Reimbursement

Category Finance

Employment Type Employee

Location Hawaii Pacific Health, Honolulu, HI

Req ID 11437