CREDENTIALING ANALYST Position Available In Hillsborough, Florida

CREDENTIALING ANALYST

Location Tampa, FL
Facility Remote
Department MMG PFS Admin
Schedule

• Shift
• Hours Full Time
• Day Shift
• M-F 7:00 am
• 3:30 pm
  Req #: 85108 At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer.

Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America’s Best Large Employers and America’s Best Employers for Women, Computerworld magazine’s list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time’s Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.

Summary Credentialing Analyst Position Highlights:

The Credentialing Analyst will perform a variety of analytical, project management and reporting tasks to facilitate and enhance the effective performance of the revenue cycle process.
Job responsibilities will include initial implementation of electronic Medicare and Medicaid credentialing databases, ensuring that taxonomy codes are accurate in the patient accounting system, and updates are communicated to the managed care department.
The position will involve frequent oral and written communication with providers.

Responsibilities:

Utilizes web portals and electronic filing methods and maintains detailed data bases for Medicare and Medicaid credentialing and recredentialing. Leads in the implementation of software to track and update enrollment status
Establishes electronic reporting and monitoring for the Revenue Cycle area, including data submission, follow-up, and reporting findings to management
Researches and compiles summaries of changes in CMS reimbursement
Works with the managed care department to obtain proposed payer fee schedules and analyzes current charges to ensure MMG is optimizing reimbursement. Implements approved changes in the MMG charge master.

Credentialing and Experience:

Associates Degree

• field of study: Business, Healthcare or related field
  Minimum of two (2) years’ experience in data analysis/reporting relative to physician, hospital, healthcare or managed care information.
• In lieu of Associates degree a High School Diploma/GED plus four (4) years’ experience as stated above will be considered.

Preferred Exp:

Medicare and Medicaid credentialing experience
Experience with MD Staff software