Reimbursement Analyst - $52,163 - $67,813

Centra Wellness Network•Eastlake, MI

1d•Onsite

About The Position

Join our Finance team, performs accounting and reimbursement duties to maintain the financial records and collection activities of the agency. Responsible for monitoring client Medicaid eligibility and insurance billing information. Staff must possess computer, typing, grammar, punctuation, proofreading, transcription, phone proficiencies and excellent communication and customer relations skills to effectively interact with staff, customers, business partners and community stakeholders. Additionally, the employee must exercise independent decision-making and work effectively in a team-based environment. The employee will complete other tasks as needed in other identified programs/departments as identified in this job description and/or assigned by supervisor. Your office is surrounded by nature, located in Benzie and Manistee Counties, just miles from beaches and hiking trails. Benzie and Manistee are a short drive to Frankfort, Traverse City, Cadillac, and Ludington, charming towns outfitted with shopping, unique restaurants and breweries.

Requirements

Bachelor’s degree in accounting or finance is required or an equivalent combination of education and minimum two years’ experience while actively pursuing a bachelor’s degree, resulting in the necessary knowledge, skills, and abilities to perform the essential functions of the job is required
Familiarity of health care billing and all aspects of accounting required

Nice To Haves

Computer proficiencies
Typing proficiencies
Grammar proficiencies
Punctuation proficiencies
Proofreading proficiencies
Transcription proficiencies
Phone proficiencies
Excellent communication skills
Excellent customer relations skills
Independent decision-making skills
Ability to work effectively in a team-based environment

Responsibilities

Uses computers to input information into accounting and resource files of the agency.
Analyzes financial information following MDHHS guidelines to determine client ability to pay amounts.
Manage billing information in electronic health record.
Review client financial information verify eligibility and priority payers.
Responsible for all insurance and private pay billing, including electronic 837 submissions, paper claims, and electronic submissions for fee for service Medicaid billing.
Review third party billing for proper coding requirements.
Follow-up and manage all claim rejections and manage appeal process when appropriate.
Prepare and analyze accounts receivable aging reports, follow up with aged receivables to maintain acceptable collection cycle.
Manage the Health Home billing process, ensuring all required authorizations are secured and entered the system.
Provide collection reports including collected and anticipated revenues.
Records payments, contract adjustments and write offs through manual entry or thought the 835 electronic uploads.
Responsible for knowledge of insurance agency regulations. Keeps informed of all billing rules and regulations for Medicare, Medicaid, and third-party agencies.
Responsible for Encounters Per Consumer Data Report 837 to NMRE. Download response file and load into EHR.
Manage Electronic Verification (EVV) implementation and monitor ongoing process.
Identify and assist in resolving client eligibility issues.
Design, prepare and maintain spreadsheets, data tables and reports.
Manage accounts receivable billing for all administrative contracts.
Enter cash receipts in general ledger and reconcile cash to client payments for journal entry posting.
Manage cash transfer to cover cash demands. Approve ACH withdraws.
Prepare quarterly internal Accounts Payable audits to confirm accuracy and compliance of internal controls.
Responsible for collecting timesheets, checking for accuracy and processing payroll.
Monitor Casper Help and train staff when appropriate.
Cross train and provide back up for Accountant II as needed.
Perform duties in accordance with well-defined policies, procedures and instruction.
We strive to continually improve the access to and the quality of care for our clients, so your supervisor may assign you to complete other tasks.
At CWN, we recognize all people’s vulnerabilities to trauma and traumatic experiences and how that impacts daily living. We use practice models suitable for our job that are evidence based or best practice to support our staff’s daily functions, models of treatment, strength-based initiatives and quality outcomes. We encourage those with lived experience with mental illness, developmental disability, and/or substance use disorders to apply to bring valuable insight and perspective to our agency.

Benefits

Generous Paid Time Off starting at 160 hours (frontloaded and prorated your first year)
12 paid holidays
Premium Medical, Dental and Vision Insurance
Health savings account with annual agency contribution
Awesome coworkers!
Premium healthcare insurance including medical, dental, and vision for individuals, and families
Health Savings Account with annual employer contribution
Flex Spending Account
Retirement Plan with employer matching
160 hours of paid time off (prorated your first year)
Twelve (12) paid holidays
Ongoing training and education
Tuition reimbursement
Employee Assistance Program
Short Term Disability
Long Term Disability
Life Insurance