Reimbursement Specialist/Analyst - Credit Department

UHS•Las Vegas, NV

118d•Onsite

About The Position

The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace culture. Our associates can count on competitive salaries, top-tier medical, dental, and retirement benefits, career training, and support for continued professional development. The Reimbursement Analyst is responsible for reviewing variance credits and securing credits after payments by working closely with medical insurance companies. This role examines contracts and identifies discrepancies between contract terms and paid claims. Investigates why insurance companies have overpaid claims and ensures accurate reimbursement through detailed contract analysis.

Requirements

2+ years medical contracts and claims appeals.
Experience in hospital acute care payer contracts.
Articulate with medical insurance terminology and explanation of benefits.
Strong financial acumen, analytical and critical thinking skills.
Strong Microsoft Office (Excel and Word) and 10-key data entry skills.

Responsibilities

Reviewing variance credits and securing credits after payments by working closely with medical insurance companies.
Examining contracts and identifying discrepancies between contract terms and paid claims.
Investigating why insurance companies have overpaid claims and ensuring accurate reimbursement through detailed contract analysis.