Sr Reimbursement Analyst

Lincare; Clearwater (FL); On-site; USD 55,000 - 85,000; Full time

Job summary

Lincare in Florida reviews and implements all pricing and claims payment information connected to contractual obligations, payer fee schedules, and posted policy updates for multiple locations.

Collaborates with Managed Care Contract administrators, regional billing offices, and centers to ensure contract terms are accurately reflected in the billing software and followed consistently. Supports day-to-day office operations and revenue reporting to optimize cash flow.

Responsibilities

• Ensures revenues are accurately recognized and at full potential
• Works with Managed Care Contract administrators, regional billing offices, and centers to ensure contract terms are input into the billing software and are being followed
• Day to day workings of individual office
• Running A/R Reports, customer lists, and reviewing revenue reports for potential issues
• Works with billing offices on revenue issues and training issues as needed
• Deliver directives from Corporate office as they apply to fee schedule changes and claims payment
• Assist in identifying areas that need to be reworked/addressed
• Create and maintain pricing matrices and payer setups associated as directed

Job description

This employee will review and implement all pricing and claims payment information associated to contractual obligations, payer fee schedule changes, and posted policy updates for multiple locations.

• Ensures revenues are accurately recognized and at full potential
• Works with Managed Care Contract administrators, regional billing offices, and centers to ensure contract terms are input into the billing software and are being followed
• Day to day workings of individual office
• Running A/R Reports, customer lists, and reviewing revenue reports for potential issues
• Works with billing offices on revenue issues and training issues as needed
• Deliver directives from Corporate office as they apply to fee schedule changes and claims payment
• Assist in identifying areas that need to be reworked/addressed
• Create and maintain pricing matrices and payer setups associated as directed