Advanced Reimbursement Analyst – Healthcare Claims A/R

Role Overview

The Advanced Reimbursement Analyst will identify, document and collect managed care, Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients. Perform any and all related job duties as assigned. This position will be on a hybrid schedule working two days either in the Lewisville, TX office or El Segundo, CA office and three days from home.

What You Will Do

Collect on identified underpayments, document any activity that affects account, reconcile accounts based on contract terms, work with contract dept. on any pricing issues, review Medicare/Medicaid and managed care payments to verify consistency with payment terms of corresponding contract between client and payor, maintain accurate, timely and thorough documentation regarding underpayments, bill payors for additional payment, perform timely and effective collection efforts, maintain departmental databases, produce periodic status reports, assist departmental staff with assigned tasks, maintain confidentiality of company, client and patient information.

Why It Might Be a Fit

High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED, 1-3+ year’s experience in office, business, operations, customer service or healthcare field, experience working with Medicare/Medicaid claims as well as Commercial Payors, experience in healthcare billing/collections or claims processing in a hospital environment, experience with hospital systems such as Cerner, Epic or Meditech preferred, persuasive negotiator.

Requirements

• High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
• 1-3+ year’s experience in office, business, operations, customer service or healthcare field

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program