OSF Healthcare Careers

Operations Specialist - PIO000394

Hours per week: 40
Status (Benefits): Full-Time
Work Schedule: Monday-Friday
Location: 1420 W Pioneer Pkwy, Peoria, IL, United States

1420 W Pioneer Pkwy, Peoria, IL, United States

Job Description

Description

The Operations Specialist is responsible for ensuring accurate and timely payor reimbursement coding for assigned OSF hospital billed services in contract system(s), developing and implementing policies and procedures that effectively manage the operational aspects of OSF Healthcare contracted payer relationships. The Operations Specialists works closely with Mission Partners within all business units and assists operational staff with problem resolution through escalation procedures with contracted payers. The Operations Specialist develops and implements effective communication tools for access by business unit personnel to assist them in their roles and working relationships with managed care contracted payers.

Qualifications

REQUIRED QUALIFICATIONS:

 

Associates degree in Business, Healthcare or related field or its equivalent with 3 years’ experience in healthcare operations, managed care or related services; or completion of high school or equivalent with 5 years’ experience in healthcare operations, managed care or related services.

 

Strong working knowledge of patient care systems/processes, patient accounting systems/processes.

 

Working knowledge in data analysis software and systems, with a strong emphasis on Microsoft Excel and Access.

 

Strong working knowledge of managed care contract terms and methodologies.

 

Willingness and ability to learn the MCIS Managed Care Information System, as a resource to the rest of the MCIS users.

 

 

PREFERRED QUALIFICATIONS:

 

Bachelor’s degree

 

Knowledge of project management techniques.

 

Knowledge and familiarity with MCIS data system preferred.

 

 

 

EOE/Minorities/Females/Vet/Disabled

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

 

Experience the OSF culture and community by clicking here.

 

 

 

Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.

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