Sr Reimbursement Analyst

Lincare Holdings; Clearwater (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Lincare Holdings seeks a Billing Specialist to review and implement pricing and claims payment information tied to contractual obligations, payer fee schedule changes, and posted policy updates across multiple locations.

You will ensure revenues are recognized fully, input contract terms into billing software, run A/R and revenue reports, and collaborate with Managed Care Contract administrators and regional offices to resolve issues and apply corporate directives on fee schedules.

Qualifications

• Pricing and claims knowledge related to contracts and payer schedules.
• Experience inputting contract terms into billing systems.
• Ability to review revenue-related reports and identify issues.

Responsibilities

• Review pricing and payer fee schedules and posted policy updates.
• Ensure revenues are recognized at full potential.
• Input contract terms into billing software across locations.
• Run A/R reports and revenue analyses to identify issues.
• Coordinate with billing offices on revenue and training.
• Implement directives from Corporate on fee schedules.

Skills

Pricing and claims knowledge

Revenue recognition

Contract management

Education

Associates Degree (AA) or equivalent

Tools

Excel

V-Lookup

Billing software

Microsoft Office

10-key typing

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

• Working knowledge of Microsoft Office products especially Excel
• Intermediate use of Excel formulas such as V-Lookup preferred
• Typing skills and 10-key required

Education and Experience:

• Associates Degree (AA) or equivalent from two-year college or technical school, or six months to one year related experience and/or training, or equivalent combination of education and experience