Altru Health System · 13 hours ago
Reimbursement Analyst
Grand Forks, ND
Full-time
Onsite
Entry Level
$61K/yr - $91K/yr
1+ years expAltru Health System is a community-focused healthcare provider, and they are seeking a Reimbursement Analyst to optimize reporting and analysis for contract performance and reimbursement trends. The role involves monitoring payer contracts, analyzing reimbursement calculations, and ensuring compliance with billing guidelines.
Health CareHospitalNon Profit
Responsibilities
Assists with preparation of reports and report analysis for reimbursement and utilization issues. Completes financial analysis regarding reimbursement and compliance issues or opportunities
Monitors all changes to payer contracts and payer guidelines to provide education to appropriate staff prior to changes to ensure timely implementation of upcoming changes
Analyzes payer reimbursement calculations and charges to validate payments from government and commercial payers to ensure compliance with billing and coding guidelines. Assists with development and analysis of contract proposals and performance. Works with third party payers to address any payment discrepancies or billing issues
Develops and maintains expert level of knowledge on risk scoring, episodes of care, bundled payments and other industry specific trends in reimbursement methodology
Summarizes data and findings for internal and/or external audiences. Creates graphical data, written reports, and/or statistical analysis to explain trends and opportunities
Performs research and stays up to date regarding all third party and government payer rules, regulations, and payment policies. Assists with communication and education with appropriate staff to ensure compliance with changes. Monitors trends for inpatient, outpatient, and physician billing, coding and payment methodology
Assists in preparation of reporting for Medicare cost report. Develops and maintains expert level of knowledge of Medicare guidelines, reimbursement methods and cost report
Performs internal audits to ensure billing compliance and optimal reimbursement. Performs department specific analysis of charges to determine correct charges are being utilized. Works with staff to correct trending issues and discrepancies and determine any opportunities for process improvements in billing, strategic pricing, and documentation. Performs research and analysis for new and updated procedures to ensure billing and coding compliance
Performs other duties as assigned or needed to meet the needs of the department/organization
Qualification
Required
Associates - Business- OR -Associates - Related Field
A minimum of 1 year Related Experience
Proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members
Preferred
Bachelors - Business
Benefits
Health plan
401(k) retirement plan
Dental plan
Vision plan
Life and disability insurance
Education assistance
Paid time off (PTO)
Company
Altru Health System
Altru Health System is an integrated healthcare system that provides services through an acute care hospital and a large home care network.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Todd Forkel
Chief Executive Officer
Recent News
2025-04-02
2024-02-18
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