Reimbursement Cash Control Analyst

Intermountain Health

2d•$24 - $37

About The Position

Reconciliation of unposted and posted cash with the cash management tools and Epic. Along with variance reporting, G/L reconciliation and Third-Party biller support and customer service. Essential Functions Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based upon established protocols. Identify trends through reporting and data analysis and leverages data to resolve errors in Epic proration rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. Log findings and provides feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. Perform root cause analysis and recommend and develop process improvement. Serve as a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors to leverage contract terms and mitigate revenue leakage and denials. Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue Work with Managed Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system contracting efforts. Work with Compliance, Finance and Government insurance follow up teams to stay abreast of legislative changes impacting revenue and driving payment variances. Initiate contact with technical teams to work through technical builds and enhancements for the Payment Variance team. Participate and lead special projects, as assigned. Oversee workflow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Trains and mentors' new associates to the department. Serves as a subject matter expert and resource to answer questions within the department. Skills Billing Customer Follow-Ups People Management Payment Handing Management Reporting Managed Care Taking Initiative Reconciliation Reading and EOB Analytics Physical Requirements:

Requirements

High School Diploma or Equivalent, required
Three (3) years of experience in revenue cycle insurance follow up or denial management, required
Extensive knowledge of managed care contract interpretation
Interact with others by effectively communicating, both orally and in writing.
Operate computers and other office equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for extended periods of time to perform work on a computer, telephone, or other equipment.
May require lifting and transporting objects and office supplies, bending, kneeling, and reaching.

Nice To Haves

Associate's degree, preferred
Three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred

Responsibilities

Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based upon established protocols.
Identify trends through reporting and data analysis and leverages data to resolve errors in Epic proration rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts.
Log findings and provides feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership.
Perform root cause analysis and recommend and develop process improvement.
Serve as a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors to leverage contract terms to mitigate revenue leakage and denials.
Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue
Work with Managed Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system contracting efforts.
Work with Compliance, Finance and Government insurance follow up teams to stay abreast of legislative changes impacting revenue and driving payment variances.
Initiate contact with technical teams to work through technical builds and enhancements for the Payment Variance team.
Participate and lead special projects, as assigned.
Oversee workflow implementation with internal and external partners.
Compile and coordinate materials and feedback on special projects.
Trains and mentors' new associates to the department.
Serves as a subject matter expert and resource to answer questions within the department.

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
Caregivers are eligible to participate in PEAK on day 1 of employment.

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