Reimbursement Analyst

14 hours ago

Vancouver, Washington, United States Vancouver Clinic Full time $23 - $28
Join the growing Patient Financial Services team as the Reimbursement Analyst

Compensation: generally, between $23.40-$28.05, and placement in the range depends on an evaluation of experience

Location: The VIC SE 34th Street – Vancouver, WA 98683)

Schedule: Monday through Friday, 8a-5p

In this role, you will: identify, analyze, and resolve payor underpayments to ensure accurate reimbursement.  Review contracts, evaluate claims and payments, and prepare/track appeals.

Key responsibilities:

  • Review payments against contracts, fee schedules, and reimbursement policies

  • Identify underpayments and improper denials; prepare and submit appeals

  • Analyze trends related to underpayments, CPT/HCPCS codes, and modifiers

  • In collaboration with payer representatives, resolve reimbursement discrepancies

To be successful in this role:

  • Have strong analytical and problem-solving skills

  • Effectively communicate and collaborate with internal and external teams

  • Adapt to change and manage ambiguity

  • Efficient use of time and resources with a continuous improvement mindset

Requirements:

  • High school diploma or equivalent required.

  • AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred.

  • Minimum three years of experience in medical billing and collections or coding required.

  • Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required.

  • Epic EHR and Experian Contract Manager experience preferred.

  • Knowledge of government, commercial, and third-party insurance contract practices and the claims processing procedures preferred.

  • Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required.

  • Ability to interpret insurance medical policies and procedures.

  • Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies.

Additional Information: Vancouver Clinic provides care across a wide range of medical decisions.  This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment.  The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic.  This position may require that employees have and maintain an activated smartphone that receives text messaging and/or ability to have a required app such as authenticator apps as some job functions require use of multi-factor authentication (MFA).

Pay Range:

$ $32.17

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace.  Offers are contingent on successful completion of background screen and immunization requirements.

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