Contracts & Reimbursement
Payor Contracting – Negotiating contracts with insurance companies for payment of healthcare services.
Reimbursement Analysis – Monitoring and analyzing projected changes in reimbursement from government agencies such as Medicare and Medicaid, and insurance companies.
Underpayment Recovery – Analyze and follow up with insurance companies when there are discrepancies between actual and expected payment received.
Positions within the department are very independent. There is a high level of job satisfaction in recovering money that was due to the organization we did not originally receive.
Although there is not a logical career path within the department due to its small size, there is a logical progression from Patient Financial Services to Contracts & Reimbursement.
Staff are sent to off-site educational conferences relevant to their positions.
Day shift with flexible hours/schedule.
Number of Employees & FTEs
1.0 FTE – Payor Contracting/Reimbursement Analysis
2.0 FTE – Underpayment Recovery