Atlantic Health
Reimbursement Analyst
This job is now closed
Job Description
- Req#: 63904
- Bachelor's degree from an accredited College or University
- 2+ years of experience in Healthcare Operations preferred
- Proficient in reviewing and interpreting Managed Care contracts preferred
Overview
Atlantic Health System is seeking a full-time Reimbursement Analyst for the PFS-Financial & Data QA at out Corporate office covering day shifts and weekends as needed.
Responsibilities
Esential Functions/Responsibilities of Position
• Effectively analyzing AHS’s AR to ensure aging balances are rectified. • Analyze hospital claim data to identify contractual underpayments and billing errors. • Pursue underpayments with insurance provider representatives via monthly teleconference to effectively resolve complicated accounts where AHS is not in agreement with how the carriers processed the accounts.• Provide management monthly payor reports to identify trending contractual issues.• Compile queries and complex data sets to analyze payor reimbursement using Epic reporting tools.• Maintain Payor Trend Analyst and Valid Payor Issue WQ’s housing trending issues and specific underpaid claims to be reviewed.• Provide workbench reports as requested by management for reimbursement of specific services.• Review outsourced AR reimbursement worked by vendor.• Identify areas of needed improvement using the Director Detailed Dashboard to improve AR days and cash flow.• Review denials and dispute accounts being incorrectly denied. • Acts as liaison with all payors and works closely with the contract management team. • Communicates with necessary ISS analyst to troubleshoot system issues.• Performs other duties as assigned.
Qualifications
Minimum Education:
Minimum Experience:
About Us
Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune’s “Top 100 Best U.S. Companies to Work For” list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.
EEO Statement
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.
About the company
Atlantic Health System's hospitals and outpatient centers are on the forefront of medicine and continually set standards for quality health care.
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