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BJC HealthCare
O'Fallon, Missouri
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Raleigh, North Carolina
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Revenue Optimization Analyst
DescriptionSummary:The Revenue Optimization Analyst will serve the System and each Region to support the optimization and protection of net revenue receivables of approximately $2.6B from all contracted payers by performing a financial review of actual versus expected in health plan reimbursement through detailed audits identifying under/overpayments and any other potential opportunities for revenue improvement with contracted payers as well as successfully document results and monitor all activity. This position will work collaboratively with Managed Care, Patient Financial Services, Patient Access, and HIM to develop and implement corrective action plans addressing any deficiencies noted in audits.  Requirements:
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