Reimburement Cash Control Analyst

Job Opportunity At Intermountain HealthReconciliation of unposted and posted cash with the cash management tools and Epic. Along with variance reporting, G/L reconciliation and third-party biller support and customer service. Essential functions include:Evaluating payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based upon established protocols. Identifying trends through reporting and data analysis and leveraging data to resolve errors in Epic proration rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts.

Logging findings and providing feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. Performing root cause analysis and recommending and developing process improvement. Serving as a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors to leverage contract terms and mitigate revenue leakage and denials. Helping design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue.

Working with Managed Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system contracting efforts. Working with Compliance, Finance and Government insurance follow up teams to stay abreast of legislative changes impacting revenue and driving payment variances. Initiating contact with technical teams to work through technical builds and enhancements for the Payment Variance team. Participating and leading special projects, as assigned.

Overseeing workflow implementation with internal and external partners. Compiling and coordinating materials and feedback on special projects. Training and mentoring new associates to the department. Serving as a subject matter expert and resource to answer questions within the department.

Skills

required include billing, customer follow-ups, people management, payment handling, management reporting, managed care, taking initiative, reconciliation, reading and EOB, analytics.

Qualifications

include a high school diploma or equivalent, required, three (3) years of experience in revenue cycle insurance follow up or denial management, required, associate's degree preferred, three (3) years of work experience in a complex invoice/billing/reconciliation environment preferred, extensive knowledge of managed care contract interpretation. Physical requirements include interacting with others by effectively communicating, both orally and in writing, operating computers and other office equipment requiring the ability to move fingers and hands, seeing and reading computer monitors and documents, remaining sitting or standing for extended periods of time to perform work on a computer, telephone, or other equipment. May require lifting and transporting objects and office supplies, bending, kneeling, and reaching. Location: Peaks Regional Office, Work City: Broomfield, Work State: Colorado, Scheduled Weekly Hours: 40.

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $24.00 - $36.54. We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Intermountain Health is an equal opportunity employer.

Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.