Advanced Reimbursement Analyst - Healthcare A/R

Company: Guidehouse
Location: Huntington Park
Posted on: January 27, 2023

Job Description:

Job Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneWhat You Will Do: The Advanced Reimbursement Analyst will identify, document and collect managed care, Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients. Perform any and all related job duties as assigned. Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at . Essential Job Functions

• Collect on identified underpayments.
• Document any activity that affects account.
• Reconcile accounts based on contract terms.
• Work w/contract dept. on any pricing issues. Duties and Responsibilities
  • Review Medicare/Medicaid and managed care payments to verify consistency with payment terms of corresponding contract between client and payor.
  • Keep current on Medicare/Medicaid payment changes.
  • Maintain accurate, timely and thorough documentation regarding underpayments.
  • Bill payors for additional payment.
  • Perform timely and effective collection efforts.
  • Maintain departmental databases.
  • Produce periodic status reports.
  • Assist departmental staff with assigned tasks.
  • Maintain confidentiality of company, client and patient information. Client Responsibility
    • Maintain confidentiality of all private health information and contract terms.
    • Perform all activities within the limitations of applicable laws and regulations.
    • Maximize collection of patient accounts.
    • Perform all responsibilities in a professional manner and consistent with the instructions provided by the client. What You Will Need:
      • Experience working with Medicare/Medicaid claims as well as Commercial Payors
      • Minimum of two years of work experience in healthcare billing/collections or claims processing in a hospital environment
      • Experience with hospital systems such as Cerner, Epic or Meditech preferred What Would Be Nice To Have:
        • Excellent organizational and analytical skills.
        • Strong interpersonal and verbal and written English language skills sufficient to interact effectively with both internal and external contacts.
        • Highly detailed and able to handle multiple tasks concurrently.
        • Able to meet deadlines and perform with minimal supervision.
        • Persuasive negotiator. The annual salary range for this position is $41,400.00-$62,100.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.What We Offer:Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:
          • Medical, Rx, Dental & Vision Insurance
          • Personal and Family Sick Time & Company Paid Holidays
          • Position may be eligible for a discretionary variable incentive bonus
          • Parental Leave
          • 401(k) Retirement Plan
          • Basic Life & Supplemental Life
          • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
          • Short-Term & Long-Term Disability
          • Tuition Reimbursement, Personal Development & Learning Opportunities
          • Skills Development & Certifications
          • Employee Referral Program
          • Corporate Sponsored Events & Community Outreach
          • Emergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Keywords: Guidehouse, Huntington Park , Advanced Reimbursement Analyst - Healthcare A/R, Healthcare , Huntington Park, California