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JOB DETAILS
Senior Reimbursment Analyst Back
Senior Reimbursment Analyst Openings
JOB TITLE: Senior Reimbursement Analyst TITLES OF JOBS SUPERVISED: None KEY QUANTIFIABLE INDICATORS: Possess the knowledge, tact and presence necessary to deal with patients, fellow employees, physicians, supervisors and managers. Candidate must be self-motivated on a daily basis to investigate, identify and resolve outstanding claims within the accounts receivables of each assigned insurance payer, while maintaining a performance of high standards with the quality of their work. The individual must exhibit a strong insurance background, show team leadership, and willing to take on any assigned duties that would positively impact the department. Candidate must show the ability to complete the task at hand in an efficient and timely manner. PURPOSE OF JOB (JOB SUMMARY) The position is responsible for reducing the assigned account receivables (AR) with emphasis on patient accounts that are over 90 days in the AR. Track tendencies by carriers for non-resolution of claims with feedback documenting the results to the Reimbursement Analyst Supervisor. Assist in customer service duties when assigned by management. REPORTS TO: Reimbursement Analyst Supervisor PRIMARY RESPONSIBILITIES: A. Work aged accounts receivable by financial class assigned by the supervisor on a weekly or monthly basis B. Monitor and document accounts for any trends regarding unusual delays in payments and follow-up accordingly in order to resolve the patient accounts. C. Resolve any account that continues to be in the AR due to inaccurate contracted payment by the managed care carriers D. Correct insurance rejections/denials and refile claims with new insurance information generated from bulk EOBs given by the finance representative department E. Review accounts prior to scheduled transfer to the external collection agency for the following: • Patients that may have become retro-active Medicaid eligible • If account handled appropriately by the Reimbursement Analyst F. Analyze; identify collection accounts through the external collection process to be forwarded to Hollis Cobb on a monthly basis. Specify increased AR from aging buckets of payers identified by the supervisor G. Assist with phone customer service support when assigned by supervisor H. Note patient accounts in an efficient, legible and clear understanding of what specifically was performed to resolve the denial or disputed service. I. Responsible for managing correspondence and appropriately documenting system for: • Correct insurance rejections and refile claims with new information • Litigation correspondence following written procedures J. Help build morale and teamwork within the office K. Training of all new analyst hires L. Other assigned duties requested from supervisor and managers QUALIFICATIONS: 1. Education: A: High School degree 2. Experience: A: 3 years in a physician billing environment B: 3years of third party insurance reimbursement knowledge preferred C: Knowledge in anesthesia billing preferred D: Medical terminology SPECIALIZED SKILLS PREFERRED: • Problem solving • Detail oriented • Excellent follow-up skills • Organizational skills • Ability to work with co-workers • Physician billing reimbursement knowledge • Knowledge in anesthesia billing preferred • Medical terminology preferred Please email resume to swilliams@gaanes.com
Summary
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Medical
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Role
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Senior Reimbursment Analyst
Posted Date
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2017-01-13




Job Description
JOB TITLE: Senior Reimbursement Analyst TITLES OF JOBS SUPERVISED: None KEY QUANTIFIABLE INDICATORS: Possess the knowledge, tact and presence necessary to deal with patients, fellow employees, physicians, supervisors and managers. Candidate must be self-motivated on a daily basis to investigate, identify and resolve outstanding claims within the accounts receivables of each assigned insurance payer, while maintaining a performance of high standards with the quality of their work. The individual must exhibit a strong insurance background, show team leadership, and willing to take on any assigned duties that would positively impact the department. Candidate must show the ability to complete the task at hand in an efficient and timely manner. PURPOSE OF JOB (JOB SUMMARY) The position is responsible for reducing the assigned account receivables (AR) with emphasis on patient accounts that are over 90 days in the AR. Track tendencies by carriers for non-resolution of claims with feedback documenting the results to the Reimbursement Analyst Supervisor. Assist in customer service duties when assigned by management. REPORTS TO: Reimbursement Analyst Supervisor PRIMARY RESPONSIBILITIES: A. Work aged accounts receivable by financial class assigned by the supervisor on a weekly or monthly basis B. Monitor and document accounts for any trends regarding unusual delays in payments and follow-up accordingly in order to resolve the patient accounts. C. Resolve any account that continues to be in the AR due to inaccurate contracted payment by the managed care carriers D. Correct insurance rejections/denials and refile claims with new insurance information generated from bulk EOBs given by the finance representative department E. Review accounts prior to scheduled transfer to the external collection agency for the following: • Patients that may have become retro-active Medicaid eligible • If account handled appropriately by the Reimbursement Analyst F. Analyze; identify collection accounts through the external collection process to be forwarded to Hollis Cobb on a monthly basis. Specify increased AR from aging buckets of payers identified by the supervisor G. Assist with phone customer service support when assigned by supervisor H. Note patient accounts in an efficient, legible and clear understanding of what specifically was performed to resolve the denial or disputed service. I. Responsible for managing correspondence and appropriately documenting system for: • Correct insurance rejections and refile claims with new information • Litigation correspondence following written procedures J. Help build morale and teamwork within the office K. Training of all new analyst hires L. Other assigned duties requested from supervisor and managers QUALIFICATIONS: 1. Education: A: High School degree 2. Experience: A: 3 years in a physician billing environment B: 3years of third party insurance reimbursement knowledge preferred C: Knowledge in anesthesia billing preferred D: Medical terminology SPECIALIZED SKILLS PREFERRED: • Problem solving • Detail oriented • Excellent follow-up skills • Organizational skills • Ability to work with co-workers • Physician billing reimbursement knowledge • Knowledge in anesthesia billing preferred • Medical terminology preferred Please email resume to swilliams@gaanes.com
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Senior Reimbursment Analyst
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Senior Reimbursment Analyst
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