3 behavioral health support staff jobs found

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Financial Analyst reports directly to the Executive Director, Contract Finance. This position provides key support and analyses related to financial aspects of BILH & BILHPN Managed Care Contracts and relationships. This includes Hospitals, Physicians, Behavioral Health, Home Care/Hospice and other provider types as well as Value Based Contract terms. It requires business knowledge with specialized technical and analytical skills. The analyst works closely with Contracting and Revenue Finance internally, as well as externally with the Contracting & Provider Relations staff of the Managed Care Plans. Job Description: Essential Duties & Responsibilities including but not limited to: 1. Performs analyses and reporting in support of managed care contract financial terms 2. Maintains fee schedule database, both Professional and Outpatient...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and outpatient hospital setting, to ensure that Beth Israel Lahey Health (BILH) is in compliance with all applicable federal and state laws and regulations as they pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and documentation requirements. To perform and monitor Third Party Payer audits by obtaining information relative to all claims audited with regards to policies, departmental practices/processes, and procedures; to gather information that would support...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Reporting to the Vice President, Contracting for Beth Israel Lahey Health Performance Network (BILHPN), the Director of Contracting is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all contracts to which BILHPN, including its subsidiaries and affiliates, is a party. Will manage negotiation and execution of managed care contracts between BILHPN, other BILH entities, affiliated providers and various managed care payers. Advances BILHPN payer strategy and aligns negotiation with strategy. Job Description: 1. Partners with the Vice President, Contracting to negotiate and manage BILHPN contracts, including initiate, plan, finalize, implement, report (written and verbal) and direct related negotiations. (essential) 2. Proposes contracting and pricing models and strategies using knowledge of...