Reimbursement Analyst

LifeCare Medical Center; Northern (KY); Hybrid; USD 36,000 - 51,000; Full time

Job summary

LifeCare Medical Center in Roseau, MN seeks a Reimbursement Analyst to track, monitor, and recover underpayments across managed care networks. You will review provider dates of service, analyze contracts, and collaborate with payors to maximize reimbursement.

Responsibilities include maintaining payor report cards, supporting revenue cycle reporting, and performing annual Chargemaster reviews to align codes with services rendered. Bachelor's degree and 3 years of related experience required.

Qualifications

• Requires Bachelor's degree in accounting or business related field and 3 years of related business or administrative experience including medical coding.

Responsibilities

• Reviews historical payment information to determine accuracy of reimbursements.
• Reviews managed care contracts to determine rates, provisions and terms.
• Identifies potential underpayments and initiates recovery with payors.
• Maintains payor report cards and supports revenue cycle reporting.

Education

Bachelor's degree in accounting or business related field

Job description

LifeCare Medical Center
Roseau, MN 56751, USA

Description

Reimbursement Analyst

The primary responsibility of the Reimbursement Analyst is to track, monitor, and recover lost revenue related to underpayments for LifeCare Medical Center. This will include reviewing accounts identified as underpaid through managed care networks and serving as a liaison with managed care company representatives to address contractual issues and denials. They will also assist in researching contract issues, developing and maintaining payor report cards, and broadly monitoring accounts receivable for other opportunities.

• Reviews historical payment information regarding provider dates of service to determine accuracy of reimbursements.
• Reviews managed care contracts to determine appropriate application of rates, provisions and terms.
• Identifies potential underpayments through comparison of managed care contracts to claim data.
• Notifies appropriate third party of potential underpayment. Commences recovery of funds through appropriate follow up with said third party.
• Manages assigned workload of accounts flagged for potential underpayments.
• Develops and maintains tools to identify and track successes of the underpayment project.
• Maintains communication with other staff who may be impacted by changes in the reimbursement field.
• Research and identifies areas of opportunity related to reimbursement.
• Collaborate with the Director to maintain individual payor report cards.
• Assist in supporting, analyzing, and researching issues with various payors, and remain educated on changing regulations impacting our reimbursement.
• All Chargemaster functions, build requirements, maintenance, support, and other related responsibilities within all Epic applications and master files.
• Perform a detailed annual review of the Chargemaster, which includes identifying codes that have been deleted, added or replaced, ensuring code reflects procedure performed, maximizing reimbursement.
• Performs other duties as assigned.
• Revenue Cycle Reporting.

We invite you to join our team as we continue on our commitment of caring for generations.

Since 1915, LifeCare Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare Medical Center, we value every person and take our patient's healthcare needs seriously. Our employees are the foundation for our success. We've fostered a collaborative environment centered around compassion, accountability, respect and excellence. At LifeCare, you will have the opportunity to thrive in a life changing career, within a culture of teamwork, professionalism, and respect. As the third largest employer in Roseau County, LifeCare Medical Center is continually looking for motivated, dedicated, and compassionate leaders who are passionate about delivering the best in healthcare services. We are committed to our communities and take pride in our medical heritage.

Job Details

Location: Roseau
Shift: Days
Job Schedule: M-F.
Hours: 40/wk
FTE: 1.0
*Pay Range: $26.49-$37.09

* It is not typical for an individual to be hired at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case and on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees.

Education and Experience

Requires Bachelor's degree in accounting or business related field and 3 years of years of related business or administrative experience and knowledge of insurance billing and collection procedures, including medical coding.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.