Data / Rates Analyst

The Rates Analyst is responsible for managing rates in the industry and keeping up to date research to maintain corporate strategy, preparation, and execution for VITAS’ current and future healthcare services : hospice, physician, nursing home, respite, & claims payments. Administer the dissemination of rates information and the training of corporate, program, and department employees. Provide additional support for the managed care business and vendor auditing requirements.

• Research and update nursing home state rates, Medicare, and Medicaid physician rates as communicated by State entities for each program and CMS
• Analyze, evaluate and disseminate to Accounts Payable payment rate information related to : ambulance, anesthesia, drugs, x-rays, DME, laboratory, and surgery fee schedules.
• Monitor and coordinate between VITAS Information Technology, Revenue Cycle Management, and Accounts Payable to ensure rates system integrity and accuracy.
• Process and maintain contracted managed care insurance plans.
• Maintain geographic tables for program billing and prepare reports to monitor and identify trends.
• Utilize well-documented, trusted facts and sources upholding excellent research skills.
• Identify improvement processes and recommendations to create and maintain organizational effectiveness within the department.
• Resolve issues while keeping abreast of the changes in industry rates / trends to maintain corporate strategy within the business function.
• Analyze state and legal requirements to ensure compliance with law, regulations, corporate, and business policies and procedures.
• Forecast predictions that may affect rates to remain aligned with the strategic direction of the business.
• Assist with vendor audit requests.

QUALIFICATIONS

EDUCATION

SPECIAL INSTRUCTIONS TO CANDIDATES