Healthcare Reimbursement Analyst

Louisiana Blue; Baton Rouge (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

Louisiana Blue is hiring multiple Reimbursement Analysts at Associate, Analyst, and Senior levels to join the Provider Reimbursement team in Louisiana. The role covers hospital, physician and other provider contracts governing billing and payments.

Candidates will provide analytical support, assist with contract development and reporting, and work with senior staff on system changes and training documentation. Experience in healthcare reimbursement is preferred.

Qualifications

• Bachelor's degree in statistics, accounting, finance, mathematics, health informatics or related field is required.
• Excellent analytical, oral and written communication and report preparation skills are required.
• Proficiency with Microsoft Excel including Pivot Tables and experience with SQL Server or Microsoft Access for building queries is required.
• Staff: 2+ years of professional financial experience in reimbursement or analysis is required.
• Senior: 4+ years of health industry accounting, billing, coding or statistical analysis experience is required.

Responsibilities

• Provide entry to intermediate level analytical support in the healthcare reimbursement department for hospital, physician and other provider contracts.
• Assist with development, implementation, oversight, analysis and reporting of reimbursement contracts including billing, payment, and utilization of health services.
• Work with senior staff to design system changes, training documentation, and guidelines for contractual billing, claim payments and analysis.
• Provide ad hoc analysis and statistical reports; may focus on Medicare Advantage line of business.

Skills

Excel Pivot Tables

Statistical analysis

Education

Bachelor's degree in statistics/finance/related field

Tools

SQL Server

Microsoft Access

Job description

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.

Residency in or relocation to Louisiana is preferred for all positions.

Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support. Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support. Applicants who would require such sponsorship or employer support during their employment should not pursue this opportunity.

Position Summary

We are hiring multiple Reimbursement Analyst to join the Provider Reimbursement team, and we are open to hiring at the Associate, Analyst and Senior level depending on the experience and qualifications.

How You Contribute to the Organization’s Mission in this Role

• Associate Reimbursement Analyst: This position is responsible for providing entry level analytical support in the healthcare insurance reimbursement department that is responsible for managing hospital, physician and other healthcare provider contracts governing billing and payments.
• Reimbursement Analyst: This position is responsible for providing entry to intermediate level analytical support in the healthcare insurance reimbursement department that is responsible for managing hospital, physician and other healthcare provider contracts governing billing and payments. Assists with the development, implementation, oversight, analysis and reporting of assigned reimbursement contracts including related billing, payment, and utilization of health services. Works with senior staff to design system changes, training documentation, and guidelines needed to support contractual billing, claim payments and analysis. Provides ad hoc analysis and statistical reports. Designated staff may focus primarily on supporting the Medicare Advantage line of business.
• Senior Analyst: Independently research, analyzes, develops and maintains new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well as training documentation describing programming, billing and payment guidelines for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business.

Qualifications

• All Levels: Bachelor's degree in statistics, accounting, finance, mathematics, health informatics or related field is required. Excellent analytical, oral and written communication, and report preparation skills with the highest degree of accuracy are required. Proficiency with Microsoft Excel including Pivot Tables and experience with either Microsoft Access or SQL Server for building queries and statistical reports required
• Staff: 2+ years of professional financial experience, reimbursement, or analysis experience required. Experience with medical coding, interpreting, explaining, summarizing and making recommendations based upon research and statistical analysis is preferred.
• Senior: 4+ years of experience in the health industry accounting functions including billing, coding, Medicare or statistical analysis of financial information is required. Provider contract analysis and/or reimbursement program implementation experience is strongly preferred. Excellent attention to detail, research, and documentation skills are required.

Leveling Statement

Candidates may be considered for the Associate, Analyst, or Senior level based on the full scope of demonstrated experience and qualifications. Level placement and promotional readiness will consider SQL proficiency, analytical judgment, independence, healthcare knowledge, breadth and depth of expertise, complexity of assignments, ability to work across business areas, project leadership, technical direction, and organizational influence. Years of experience will not be the sole basis for level determination or promotion.

An Equal Opportunity Employer

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact [e-mail] for assistance.

In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

JOB CATEGORY: Data Analytics/Warehousing, & Business Intelligence