Sr Reimbursement Analyst

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

Job summary

externallincarecareers is seeking a billing/revenue cycle professional to manage day-to-day office operations in Clearwater, FL. You will ensure accurate revenue recognition and collaborate with managed care contract admins, regional billing offices, and centers to input terms into billing software and enforce compliance across the organization.

The role involves running A/R reports, reviewing revenue data for issues, and supporting corporate directives on fee schedules and claims payments.

Qualifications

• AA degree or equivalent education/experience.
• Experience with billing processes and revenue cycles is helpful.
• Experience with training and communicating policies is a plus.

Responsibilities

• Ensure revenues are recognized accurately and at full potential.
• Work with Managed Care Contract administrators, regional billing offices, and centers to input contract terms into billing software and ensure compliance.
• Run A/R reports, customer lists, and review revenue reports for potential issues.
• Collaborate with billing offices on revenue issues and training needs.
• Deliver directives from Corporate on fee schedule changes and claims payments.
• Assist in identifying areas that need to be reworked/addressed.
• Create and maintain pricing matrices and payer setups as directed.

Skills

Microsoft Excel

VLOOKUP basics

Typing 10-key

Education

Associate degree or equivalent

Job description

• 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