Advanced Reimbursement Analyst - Healthcare Claims A/R

Guidehouse•Lewisville, TX

2d•Hybrid

About The Position

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.

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.

Nice To Haves

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.

Responsibilities

Collect on identified underpayments.
Document any activity that affects account.
Reconcile accounts based on contract terms.
Work w/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.
Keep current on Medicare/Medicaid payment changes.
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.
Maintain confidentiality of all private health information and contract terms.
Perform all activities within the limitations of applicable laws and regulations.
Maximize collection of patient accounts.
Perform all responsibilities in a professional manner and consistent with the instructions provided by the client.

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