Reimbursement Analyst- 813052

2 weeks ago


Alamogordo, United States Christus Health Full time
Description
  • 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


Requirements

Education

Required:

    High School

Licenses & Certifications

Preferred:

    C-Heartsaver



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