Reimbursement Analyst- 813056

College of Charleston • Alamogordo, NM, United States • $200k - $250k / year • 5m ago

Reviews payer EOB?s but not limited to payment accuracy, patient liability, and appeal grievances
File appeals on underpayments
Forward appeal letters to scanning
Generate reports from the Managed Care module to identify issues but not limited to underpayments, total charge adjustments, missing calculations, and contract accuracy
Generate reports from the Managed Care module to assist management identifying payer problem accounts
Create a monthly Medicaid HMO underpayment report for the CFO
Process incoming mail correspondence from payers within 3 business days.
Follow up with the payer via phone and/or the website as needed
Enter detailed notes explaining account activity in the Patient Accounts system including expected payment calculation
Identify payer trends for resolution
Report payer trends to the Director and/or Assistant Director of Patient Financial Services
Assist the Reimbursement Specialist when needed
Respond to patient inquiries within 2 business days
Respond to interdepartmental inquiries within 2 business days
Respond to payer requests within 2 business days
Respond to emails within 2 business days
Maintain courtesy and respect at all times when working with internal and external customers

CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States. #J-18808-Ljbffr

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