Reimbursement Analyst

Sarah Bush Lincoln; Charleston (SC); On-site; USD 30,000 - 46,000; Full time

Job summary

Sarah Bush Lincoln in Charleston is seeking a Reimbursement Analyst to handle electronic and paper billing, ensuring claims are accurate for timely payments from Medicare, Medicaid, and commercial payers.

Role includes liaison with payers, reviewing disputes, and optimizing reimbursement according to contracts. The position is on-site with full-time hours and compensation starting at $21.62 per hour, based on experience.

Qualifications

• High school diploma is required.
• Experience with medical billing and payer denials is preferred.
• Ability to interpret reimbursement methodologies and billing language.

Responsibilities

• Acts as a liaison between third-party payers and the organization.
• Answers telephone/mail inquiries dealing with patient’s insurance carriers.
• Billing and collections for all SBL service lines.
• Builds and maintains contract terms in the contract management system.
• Coordinate coding issues to assure accuracy with the coding compliance department.
• Develops and maintains payer audits at regular intervals.
• Ensure reimbursement is maximized per payer contracts.
• Follow up with payers regarding discounts, unpaid claims, denials, and procedures questions.
• Process claims through billing system ensuring accuracy of claim information.

Skills

Billing & Collections

Payer communication

Data verification

Attention to detail

Education

High School Diploma

Tools

Contract management system

Job description

## Reimbursement AnalystApply: On-Site: Charleston Commons: Full time: Posted Today: JR105329**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Reimbursement Analyst**Job Description**Reimbursement Specialist performs electronic and paper billing functions to submit claims. Performs computer edits and verifies data to ensure timely payment from the insurance carriers. Follow up with Medicare, Medicaid and/or Commercial payers regarding inappropriate discounts, unpaid claims, denials and questions regarding procedures. Department: Patient Financial ServicesHours: Full time, 40 hours/weekShift: 1stRequired: High School DiplomaPay: Based on experience, starting at $21.62Location: Charleston**Responsibilities**Acts as a liaison between third-party payers and the organization., Answers telephone/mail inquiries dealing with patient’s insurance carriers., Assists in other areas as requested., Billing and collections for all SBL service lines., Builds new and maintains existing contract terms in contract management system., Coordinate coding issues to assure accuracy with the coding compliance department., Develops and maintains routine payer audits at regular intervals., Ensures that reimbursement is maximized in accordance with payer contracts., Follow up with payers regarding inappropriate discounts, unpaid claims, denials, and questions regarding procedures., Identifies problem delinquencies and makes recommendations for their disposition (e.g., referral to collection agencies, write-off, etc)., Process claims through billing system assuring the accuracy of claim information., Processes patient statements, chart documents, and patient demographics., Provides feedback on payer issues., Researches, identifies and corrects special circumstances affecting delayed payments of accounts., Researches contracting and payment issues and interacts with payers as a part of that process., Researches overpaid credits on patient accounts so that refunds can be made to the appropriate party in a timely manner., Responsible to understand and interpret reimbursement methodologies, billing and medical language so that effective and efficient analysis is provided., Review payment vouchers for adjustments that have not been completed or that are incorrect., Stay abreast of all government regulations by referencing publications, memos, websites, and attending seminars when offered., Stays informed of statutes and regulations, which could affect collection of receivables (e.g., insurance company changes, collection regulations, etc)., Works variance work queues, identifying paper trends regarding the variance between actual and expected reimbursement for both facility and professional charges.**Requirements**High School (Required)**Compensation**Estimated Compensation Range$21.62 - $33.51Pay based on experience