reimbursement Specialist Cash Control Analyst

Intermountain Healthcare; Broomfield (CO); On-site; USD 33,000 - 51,000; Full time

Job summary

Intermountain Health is seeking a Revenue Cycle Specialist to reconcile unposted and posted cash using Epic, perform variance reporting, and support third-party billers. The role emphasizes data analysis and collaboration with Hospital Billing AR Management, Cash Management, and Managed Care leadership.

The position requires attention to detail and experience in a complex billing environment with opportunities to lead process improvements.

Qualifications

• High School Diploma or Equivalent, required.
• Three (3) years of experience in revenue cycle insurance follow up or denial management, required.
• Associate's degree, preferred.
• Three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred.
• Extensive knowledge of managed care contract interpretation

Responsibilities

• Evaluate payment variances in Epic WQs against payer contracts to determine underpayment or overpayment.
• Identify trends through reporting and data analysis to resolve errors in Epic proration rules and payer trends.
• Lead and coordinate with Hospital Billing AR Management, Cash Management, and Managed Care leadership.
• Perform root cause analysis and recommend process improvements.
• Serve as SME and liaison to internal/external teams on variance and reimbursement processes.

Skills

Billing

Customer Follow-Ups

People Management

Payment

Reporting

Managed Care

Reconciliation

EOB Analytics

Education

High School Diploma or Equivalent

Associate's degree, preferred

Job description

Job Description

Reconciliation of unposted and posted cash with the cash management tools and Epic. Along with variance reporting, G/L reconciliation and Third-Party biller support and customer service. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.

Essential Functions

Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based upon established protocols. Identify trends through reporting and data analysis and leverages data to resolve errors in Epic proration rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. Log findings and provides feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. Perform root cause analysis and recommend and develop process improvement. Serve as a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors to leverage contract terms and mitigate revenue leakage and denials. Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue Work with Managed Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system contracting efforts. Work with Compliance, Finance and Government insurance follow up teams to stay abreast of legislative changes impacting revenue and driving payment variances. Initiate contact with technical teams to work through technical builds and enhancements for the Payment Variance team. Participate and lead special projects, as assigned. Oversee workflow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Trains and mentors' new associates to the department. Serves as a subject matter expert and resource to answer questions within the department.

Skills

Billing Customer Follow-Ups People Management Payment Handing Management Reporting Managed Care Taking Initiative Reconciliation Reading and EOB Analytics

Qualifications

High School Diploma or Equivalent, required- Three (3) years of experience in revenue cycle insurance follow up or denial management, required- Associate's degree, preferred- Three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation

Physical Requirements

Interact with others by effectively communicating, both orally and in writing. Operate computers and other office equipment requiring the ability to move fingers and hands. See and read computer monitors and documents. Remain sitting or standing for extended periods of time to perform work on a computer, telephone, or other equipment. May require lifting and transporting objects and office supplies, bending, kneeling, and reaching.

Location

Peaks Regional Office Work City: Broomfield Work State: Colorado Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $24.60 - $37.46

Benefits

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

All positions subject to close without notice.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!