Analyst-Payment Variance

Job Summary

The Payment Reimbursement Analyst is responsible for identifying payer accounts to determine compliance with payer contracts. The analyst will audit these accounts and follow up with payers on resolution on reimbursement discrepancies. This position will play a key role in departmental projects pertaining to quality and performance improvement. Performs other duties as assigned.

Responsibilities

• Serve as subject matter experts and resources on interpretation of payor contract language to ensure appropriate reimbursement by insurance companies.
• Identify, analyze and report trends in repayment issues to leadership.
• Complete special AR projects to help liquidate key segments of Baptist aging AR.
• Participates in the development of the department long-term and short-term goals, objectives plans, policies and procedures.
• Applies consistent and standardized reporting of findings and repayment calculations.
• Communicates with insurance companies daily.

Specifications

Experience

Minimum Required

• Two (2) years of experience working in accounting, finance, or a hospital revenue cycle environment.

Preferred/Desired

Education

Minimum Required

• Associates Degree in Accounting, Finance, or Business. Or an equivalent combination of previous related payment reimbursement experience and education.

Preferred/Desired

• Bachelor's degree in healthcare, accounting, Business or other related field

Training

Minimum Required

Preferred/Desired

Special Skills

Minimum Required

• Strong analytical skills. Good verbal and written communication skills in the English language. Excellent computer skills and knowledge of Microsoft Excel and Word. Knowledge of healthcare receivables.

Preferred/Desired

Licensure

Minimum Required

Preferred/Desired