Pricing Coordinator
Core
Define and implement provider reimbursement rates based on CMS Medicare methodologies, primarily for Part B programs, while monitoring pricing procedure changes and their impact on IHS FI processes.
Role type
Pricing Coordinator (Healthcare Finance)
Builds
Provider reimbursement rates and pricing data for Medicare Part B and IHS FI processes
Domain
Healthcare / Medicare Reimbursement
Required skills
Data analysis, Database management (Access), Spreadsheet proficiency (Excel), Healthcare finance knowledge, Reimbursement methodologies, Math skills
Preferred skills
Research techniques, Medicare/Medicaid reimbursement methodologies, Claims processing concepts, Medical classification coding, Mainframe applications, PC applications
Responsibilities
Obtain current Medicare rates, work with systems to load rates, distribute pricing information to staff, monitor Medicare Part B pricing procedures, evaluate impact on IHS FI processes, inform management of implications and make recommendations
Seniority
Mid-level, hands-on IC