Reimbursement Analyst, Full Time, Days (8a-4p), Morristown, NJ
Atlantic Health System•Morristown, NJ
•$35 - $61•Onsite
About The Position
Under general supervision by the department's Manager of Governmental Billing and Reimbursement, this position is responsible for the accuracy and integrity of the accounts receivable for all AHS sites. This position also provides communication regarding reimbursement issues or trends from Governmental payers, along with providing education to team members, training in collaboration with the Supervisor and follow as necessary for proper reimbursement.
Requirements
- Associate or bachelor’s degree in accounting, business or related field.
- 3-5 years’ experience working in Hospital Billing for Medicare/Medicaid or relevant area.
- Experience in conducting analysis of third-party reporting.
- Must be proficient in Word, Excel, and other Microsoft office applications.
- Must have excellent communication skills; must be able to articulate in a clear and concise manner orally and in written form.
Nice To Haves
- Experience with Hospital Cost Reporting.
- Experience and knowledge of Clinic Reimbursement rules and practices.
Responsibilities
- Analyze hospital claim and reimbursement data to identify contractual underpayments or 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 carrier processed the accounts.
- Provide management payor reports to identify trending contractual issues.
- Compile queries and complex data sets to analyze payor reimbursement using EPIC reporting tools.
- Reviewing contracts for accurate payments and identifying payor trend issues with payment or codes.
- Thorough knowledge and understanding of regulatory and insurance requirements.
- Performs other duties as assigned.
Benefits
- Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
- Life & AD&D Insurance.
- Short-Term and Long-Term Disability (with options to supplement)
- 403(b) Retirement Plan: Employer match, additional non-elective contribution
- PTO & Paid Sick Leave
- Tuition Assistance, Advancement & Academic Advising
- Parental, Adoption, Surrogacy Leave
- Backup and On-Site Childcare
- Well-Being Rewards
- Employee Assistance Program (EAP)
- Fertility Benefits, Healthy Pregnancy Program
- Flexible Spending & Commuter Accounts
- Pet, Home & Auto, Identity Theft and Legal Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
