Medicaid Hospital Reimbursement Analyst
Company: VirtualVocations
Location: West Palm Beach
Posted on: February 27, 2025
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Job Description:
A company is looking for a Medicaid Provider Hospital
Reimbursement Methodologies Analyst.
Key Responsibilities
Research state-specific Medicaid reimbursement methodologies for
hospitals and facilities
Support implementation of new Medicaid pricers, including reviewing
vendor specifications and developing test plans
Maintain ongoing Medicaid pricer quality assurance and resolve
provider reimbursement inquiries
Required Qualifications
3+ years of experience with state Medicaid hospital reimbursement
methodologies (MS-DRG, APR-DRG, APC, EAPG)
2+ years of experience with MS-DRG, APR-DRG, and/or EAPG grouper
logic
Experience processing or reviewing facility claims
Proficiency in Microsoft Excel for basic data analysis
Keywords: VirtualVocations, Miami , Medicaid Hospital Reimbursement Analyst, Healthcare , West Palm Beach, Florida
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