Reimbursement Analyst
: Job Details :

If you are a current employee at Sarah Bush Lincoln Hospital System, Do NOT complete this application. Please go to the internal career site to complete your application!Reimbursement AnalystJob DescriptionReimbursement Analysts performs electronic and paper billing functions to submit claims. Performs computer edits and verifies data to ensure timely payment from the insurance carriers. Follow up with Medicare, Medicaid and/or Commercial payers regarding inappropriate discounts, unpaid claims, denials and questions regarding procedures.Department: Managed Care & DenialsHours: Monday - Friday, 8am-430pmStarting Wage: $21.62+/hr., pay based on applicable experienceResponsibilitiesActs as a liaison between third-party payers and the organization., Answers telephone/mail inquiries dealing with patient's insurance carriers., Assists in other areas as requested., Billing and collections for Home Health, Hospice, Coordinate coding issues to assure accuracy with the coding compliance department., Coordinate with Hospital/Clinic Services on any encounter posting issues to assure proper guidelines are followed., Follow up with Medicare and/or Medicaid regarding inappropriate discounts, unpaid claims, denials, and questions regarding procedures., Identifies problem delinquencies and makes recommendations for their disposition (e.g., referral to collection agencies, write-off, etc)., Keeps informed of reimbursement requirements and regulations from Medicaid, All Kids, and/or third-party payers. , Processes patient statements, chart documents, and patient demographics., Process Medicare/Medicaid claims through Nebo system in a timely manner assuring the accuracy of claim information., Provide coverage as needed for SBL Dental billing., Researches, identifies and corrects special circumstances affecting delayed payments of accounts., Researches overpaid credits on patient accounts so that refunds can be made to the appropriate party in a timely manner., Review payment vouchers for adjustments that have not been completed or that are incorrect., Stay abreast of all government regulations by referencing publications, memos, websites, and attending seminars when offered. , Stays informed of statutes and regulations, which could affect collection of receivables (e.g., insurance company changes, collection regulations, etc).Requirements:High School (Required)