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Reimbursement Specialist
2 months ago
Christus Health is seeking a skilled Reimbursement Analyst to join our team. The ideal candidate will have a strong background in medical billing and a keen eye for detail. The Reimbursement Analyst will be responsible for reviewing payer EOBs to ensure accuracy and identifying areas for improvement. This will involve generating reports from the Managed Care module to identify issues such as underpayments, total charge adjustments, and missing calculations. The successful candidate will also be responsible for creating a monthly Medicaid HMO underpayment report for the CFO and processing incoming mail correspondence from payers within 3 business days. Additionally, the Reimbursement Analyst will be responsible for maintaining detailed notes explaining account activity in the Patient Accounts system and identifying payer trends for resolution. The ideal candidate will have excellent communication skills and be able to work effectively with internal and external customers. **Requirements:**
* High School Diploma or Equivalent
* Licenses & Certifications: C-Heartsaver (Preferred)
**Responsibilities:**
* Review payer EOBs for accuracy
* Identify areas for improvement and generate reports
* Create a monthly Medicaid HMO underpayment report
* Process incoming mail correspondence from payers
* Maintain detailed notes in the Patient Accounts system
* Identify payer trends for resolution
* Respond to patient inquiries within 2 business days
* Respond to interdepartmental inquiries within 2 business days
* Respond to payer requests within 2 business days
**Working at Christus Health:**
We are a faith-based, not-for-profit health system based in Texas. Our mission is to extend the healing ministry of Christ by improving the health of the people we serve. We are committed to providing high-quality, compassionate care to our patients and their families. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.
