Reimbursement Analyst - Westpark Campus

LCMC Health•Irvine, CA

3d•Onsite

About The Position

The Reimbursement Analyst position is responsible for processing accounts receivable reports and checks for potential issues, settling accounts receivable requests and billing issues, and preparing financial/reimbursement reconciliation. This role involves developing techniques for effective analysis of billing and collections efforts. A key responsibility is working with medical schools regarding required GME time studies, providing analysis, and collecting, analyzing, and reviewing time study data to ensure physician time studies are maintained to maximize the hospitals’ direct/indirect medical education reimbursement. The analyst will also assist physicians in determining appropriate use of codes for maximizing reimbursement of services, aid in annual cost report preparation, and assist with DSH/additional reporting and analysis requirements. Ensuring the filing of all cost reports, GME/other reimbursement applications, DSH/other reports, and any other regulatory requirements is a collaborative effort with leaders and team members. Additionally, the role involves assisting with the completion of audit schedules for revenue, revenue deductions, patient accounts receivable, and settlement receivables, and serving as a resource to the team and assisting with special projects. The analyst will also help resolve third-party denials, reimbursement appeals, and problems, and provide in-service training programs for departmental billing personnel and clinical faculty.

Requirements

Combination of appropriate education and work experience is required: Bachelor’s Degree with 2 years of experience in healthcare accounting, or Medicare/Medicaid cost reporting preparation OR Master’s Degree with 1 year of relevant experience
Proficient computer skills with knowledge of Excel, Word, graphics, etc.
Good verbal and written skills.
Maintains a working knowledge of the data processing system as it relates to the Accounting and Patient Accounting Departments.
Demonstrates analytical and interpretative skills in analyzing Time Study data.

Responsibilities

Processes accounts receivable reports and checks for potential issues.
Settles accounts receivable requests and billing issues.
Prepares financial/reimbursement reconciliation.
Develops techniques for effective analysis of billing and collections efforts.
Responsible for working with medical schools regarding required GME time studies and providing analysis to required team or employees.
Collects, analyzes, and reviews the time study data and provides financial reconciliation.
Maintains physician time studies to ensures that the hospitals’ direct/indirect medical education reimbursement is maximized.
Assists physicians in determining appropriate use of codes for maximizing reimbursement of services.
Assists the leaders and team members with annual cost report preparation.
Assists as needed with DSH/additional reporting and analysis requirements.
Ensures filing of all the cost reports, GME/other reimbursement applications, DSH/other reports and any other regulatory requirements.
Assists the leaders and team members with the completion of audit schedules for revenue, revenue deductions, patient accounts receivable and settlement receivables requested by the audit firm to ensure accuracy and timely completion.
Serves as a resource to the members of the team and assists with special projects as needed.
Assists in resolving third party denials received as well as reimbursement appeals and problems.
Provides in-service training programs for departmental billing personnel and clinical faculty.

Benefits

LCMC Health is a community. Our people make health happen.
While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.
Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary
Deliver healthcare with heart.
Give people a reason to smile.
Put a little love in your work.
Be honest and real, but with compassion.
Bring some lagniappe into everything you do.
Forget one-size-fits-all, think one-of-a-kind care.
See opportunities, not problems – it’s all about perspective.
Cheerlead ideas, differences, and each other.
Love what makes you, you - because we do
You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.
LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
About LCMC Health One-of-a-kind care comes from one-of-a-kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra-extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond. If you’re the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let’s make every day extraordinary, together.