University of Massachusetts Medical School

  • Coordination of Benefits Associate I

    Minimum Salary US-MA-Charlestown
    Job Location 2 months ago(10/9/2018 10:48 AM)
    Requisition Number
    2018-31772
    # of Openings
    1
    Posted Date
    Day
    Shift
    Exempt
  • Overview

    GENERAL SUMMARY OF POSITION:

    The Associate I position reports to the Senior Associate or designee, and will assist in the development of contracts with state agencies; both in and out of state.

     

     

    Responsibilities

    MAJOR RESPONSIBILITIES:

    • Coordinate and implement new products and projects  
    • Perform complex analysis in support of projects in and out of state
    • Participate in developing proposal responses by providing documentation and analysis
    • Assist in the preparation of client and staff presentations and marketing materials 
    • Provide support to staff performing consulting services
    • Participate in project forecasting and financial analysis
    • Present the research and development findings on industry trends to support revenue initiatives
    • Assist in the development of agreements between public entities and the University
    • Communicate with client as required concerning status of their projects
    • Respond to client needs and requests
    • Prepare internal and external reports 
    • Assist in the design of and implement instruments to quantify reimbursement costs
    • Participate in the Continuous Quality Improvement program
    • Assist in the preparation of federal claims for reimbursement
    • Perform other job related duties as assigned

     

    Qualifications

    REQUIRED QUALIFICATIONS:

    • Bachelor’s degree or equivalent
    • 3-5 years of experience in a business related field or other related experience
    • Preferred knowledge of State and Federal regulations as they apply to public assistance programs
    • Demonstrated experience in computer based tools including spreadsheets and word processing
    • Knowledge of accounting principles, budgeting, and computer reporting preparation
    • Demonstrated project management skills

    Additional Information

    PREFERRED QUALIFICATIONS:

    • Advanced skills in Microsoft office suite: Word, Excel, PowerPoint, Access and Outlook
    • Demonstrated experience/skills with data warehouse concepts and reporting tools, SQL or VB for managing data held in a relational database management system
    • Demonstrated experience with system test cycles (UAT and Model Office)
    • Strong knowledge and applied business experience with health care benefit programs, and health insurance regulations; in particular, MassHealth, Third Party Liability, commercial/private insurers, Medicaid and Medicare eligibility requirements
    • Knowledge of HIPAA transactions, EDI transactions, and XML
    • Working knowledge of claims processing systems, and standardized code sets: HCPCS, CPT-4 and ICD-9 / ICD10
    • Highly motivated individual with proven experience in meeting deadlines and producing high quality results in a dynamic operations setting
    • Ability to apply critical thinking to complex problems

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed