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Sarah Bush Lincoln · 1 month ago

Reimbursement Analyst

Charleston Commons

Full-time

Onsite

New Grad, Entry Level

$21.62/hr - $33.51/hr

Sarah Bush Lincoln is a healthcare organization seeking a Reimbursement Analyst. The role involves performing billing functions, verifying data for timely payments, and following up with insurance carriers on claims and reimbursements.

Health CareHospitalMedicalNon Profit

Responsibilities

Acts as a liaison between third-party payers and the organization

Answers telephone/mail inquiries dealing with patient’s insurance carriers

Assists in other areas as requested

Billing and collections for all SBL service lines

Builds new and maintains existing contract terms in contract management system

Coordinate coding issues to assure accuracy with the coding compliance department

Develops and maintains routine payer audits at regular intervals

Ensures that reimbursement is maximized in accordance with payer contracts

Follow up with payers regarding inappropriate discounts, unpaid claims, denials, and questions regarding procedures

Identifies problem delinquencies and makes recommendations for their disposition (e.g., referral to collection agencies, write-off, etc)

Process claims through billing system assuring the accuracy of claim information

Processes patient statements, chart documents, and patient demographics

Provides feedback on payer issues

Researches, identifies and corrects special circumstances affecting delayed payments of accounts

Researches contracting and payment issues and interacts with payers as a part of that process

Researches overpaid credits on patient accounts so that refunds can be made to the appropriate party in a timely manner

Responsible to understand and interpret reimbursement methodologies, billing and medical language so that effective and efficient analysis is provided

Review payment vouchers for adjustments that have not been completed or that are incorrect

Stay abreast of all government regulations by referencing publications, memos, websites, and attending seminars when offered

Stays informed of statutes and regulations, which could affect collection of receivables (e.g., insurance company changes, collection regulations, etc)

Works variance work queues, identifying paper trends regarding the variance between actual and expected reimbursement for both facility and professional charges