Payer Audit Project Analyst, Full-Time, Baptist Metro Square

Job Summary

Baptist Health is looking to add a Payer Audit Project Analyst to our team at Baptist Metro Square. This is a Full-Time Days opportunity.

As a Payer Audit Project Analyst, you will be responsible for:

• Managing the inventory of accounts that are audited by health plans.
• Developing and updating standard operating procedures for the department and serving as the primary timekeeper.
• Managing payer audits, including responding to payer audit requests and maintaining and reporting on inventory.
• Developing and maintaining standard operating procedures and training for the department.
• Providing general administrative and logistical support to team members and external payer audits to ensure successful completion of audits.
• Supporting the Managed Care Department during negotiations and tracking and resolution of payer issues.
• Supporting the Managed Care Department in negotiation and tracking of letters of agreement.
• Demonstrating excellent working knowledge of regularly used computer applications.
• Having a working knowledge of managed care payer contracts and network bulletins.
• Serving as primary timekeeper for the department. Other duties as assigned.

This Payer Audit Project Analyst will be located at Baptist Metro Square. If you are interested in this Full-Time Days opportunity, please apply now!

Education Required

High School Diploma/GED

Education Preferred

Bachelor's Degree

Experience

• Over 5 years Revenue Cycle Claims and Billing Experience Required
• Over 5 years Auditing Experience Required

License and Certification

None

Location

Location Overview

Baptist Health, founded in 1955, is North Florida’s most comprehensive health care system and the area’s only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children’s Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.