Healthcare EDI Analyst jobs in Columbus, GA

Compiles and analyzes statistical data for Managed Care Contract decision making. Works with internal and external customers to interpret contract terms.

FLSA: Exempt
EEO: □ 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers X 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers

Develops, writes, and maintains profitability testing for all companies with an assigned insurance code.
Provides financial and utilization data to the Medical Director, Department Directors, and Case Managementas requested.
Assists with provision and research of comparative regional and severity-adjusted data via PLM and othersources.
As needed, prepares reimbursement research to the CFO, the Controller, and department heads.
Verifies accuracy of Managed Care payments.
Reviews and works with the CFO on contract language on all renewed and new insurance contracts.

Minimum Education

X bachelor's degree in business with Accounting or Finance concentration X Required

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Minimum Work Experience
Three (3) years in a related position. Prefer experience in Cost Accounting or as Financial Analyst.