| Required Athena IDX Systems Analysts - 100% Remote at Athena, Oregon, USA |
| Email: [email protected] |
| From: Pankaj, kpg99 [email protected] Reply to: [email protected] Hi, Hope you are doing well. Please find the job description below and let me know your interest. Position:Athena IDX Systems Analysts Location: Remote Duration: 6+ Months Mode of Interview: Phone and Video Job Description: Need very strong Athena IDX Systems Analysts looking for 3-5 more IDX - MCA/FRM Analysts or Engineers (Managed Care Application or Financial Risk Manager). Sounds like MCA and FRS are the same thing, just different versions of the same tool. They need to have 3-5 years minimum experience with it. If they're more technical - they'll probably have experience with something called AES - App Enhancement System. Higher end people are ok. They should have hands on experiencing working with the tool, not necessarily implementing it. Sounds like implementations are quick and all the enhancements occur after the implementation. Here are notes from before: AthenaIDX (Centricity, IDX, Athena) Systems Analyst/Business Systems Analyst (need 3-5 resources) Revenue Cycle side. Managed Care Application or Financial Risk Manager experience(not the clinical side) They can be located only in the US. We are looking for a minimum of 6 months, likely longer. We would hire six rockstars if we could, but we hope to find at least 4 good analysts. Here is the description: Experience in IDX applications (SCHED, Front Desk, MCA/Open Referrals, EDI Eligibility, DBMS; integration points with other IDX applications) or other similar healthcare software applications experience preferred. IDX MCA/FRM experience is highly preferred. Experience in information systems in a healthcare organization preferred Strong administrative, analytical, problem-solving skills, written and verbal communication, and presentation skills. In depth knowledge of 5010 HIPAA transaction sets including 837,834,276/277 The System Analyst will be responsible for maintaining and updating the GE/Centricity/IDX Managed Care Application (MCA) module for a managed care line of business: building fee schedules, provider and vendor dictionary entries, and plan benefits and exclusions. Assists with health plan utilization management reporting for the organization. Responsible for ensuring that optimal payment methodology is in place for payments from Banner to vendors and other providers. Produce all health plan and monthly managed care reports. Review contracts and sets up reporting strategies and schedules. Build systems to ensure complete data transfer. Audit monthly results of transfers and repairs deficiencies. Facilitate and implement contracts for provider and facility reimbursement including: case rates, global rates, percentage discounts, usual and customary fee schedules, RVUs, per diems, and health plan schedules and networks Develop and conduct reviews to ensure that rate payments meet all contractual obligations and are most advantageous for the organization. Monitor Medicare and TRICARE payment methodologies and makes recommendations for contract modification Work with the Insurance Division and Provider Relations Representatives to research contract and vendor payment issues Maintain benefit structures and exclusions. Set up auto-adjudication processes in aIDX (GE/Centricity). |
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| Wed Nov 09 13:39:00 UTC 2022 |