Healthcare Reimbursement Analyst with Availity Expertise

2 days ago


Franklin, Tennessee, United States Inception Fertility Corporate Services Full time

**Job Description Overview**

Inception Fertility Corporate Services is seeking a detail-oriented Healthcare Reimbursement Analyst to join our team. This role will play a critical part in ensuring accurate reimbursement rates and effective communication with payers.

About the Job:

This position requires 3-5 years of experience in healthcare contracting, fee schedule implementation, billing system analytics, and reimbursement term maintenance within Patient Management Systems. The ideal candidate will be able to navigate complex payment methodologies and communicate effectively with payer sources.

Responsibilities:

  • Collect and maintain accurate data on contract rates from payors, utilizing platforms such as Availity, NaviNet, payer portals, CMS, and other health plan websites.
  • Ensure organization platforms accurately reflect reimbursement rates by payer source per applicable contract terms and fee schedules.
  • Document and update tracking tools and files in compliance with required version-controlled fee schedule format and system build requirements.
  • Assist in monitoring payer contract compliance based on negotiated rates.
  • Communicate trends and discrepancies to Payer Relations leadership for engagement with payer sources.

Requirements:

  • 3-5 years' experience in healthcare contracting, implementing/building fee schedules/reimbursement terms, billing system analytics, and supporting/maintaining reimbursement terms within Patient Management Systems.
  • 3-5 years' experience in revenue cycle, patient accounting, and billing workflows, as well as payer contract modeling within an applicable platform.

What We Offer:

  • A competitive salary range of $60,000 - $90,000 per year, depending on experience.
  • An outstanding benefits package, including health, vision, and dental packages, HSA/FSA, Life and Disability Insurance, no-cost medical, dental, and vision plan for employees, 18 days of accrued PTO, 11 paid holidays, fertility benefits, 401(k) Retirement Plan, Employee Assistance Program, and Continuing Education Reimbursement.

About Us:

Inception Fertility Corporate Services is a leading provider of healthcare services, dedicated to delivering high-quality care and innovative solutions to patients and partners alike.



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