Sr. Reimbursement Specialist/Analyst

Mana---Medical-Associates-of-Northwest-Arkansa; Fayetteville (AR); On-site; USD 70,000 - 110,000; Full time

Benefits offered by this job

Comprehensive Benefits

401K match

Paid time off

Holidays

Life & Disability Insurance

Corporate Discounts

Training & Development

Job summary

Mana Medical Associates of Northwest Arkansas (MANA) is seeking a Senior Reimbursement Specialist to optimize reimbursement performance across our organization. You will analyze trends, negotiate managed care contracts, and ensure accurate reimbursement for services provided.

Reporting to the Director of Reimbursement, you will monitor reports, evaluate policy changes, and collaborate with insurance representatives to resolve issues, supporting our financial health and the delivery of quality

Qualifications

• Must be proficient in Microsoft Excel, including the ability to create, maintain, and analyze spreadsheets.
• Have 5 years related experience and/or training.
• Experience in contracting and fee negotiations with payers.

Responsibilities

• Assist in maintaining fee schedules and procedure code constants to ensure up-to-date information for determining allowable amounts and the accuracy of reports.
• Monitor the insurance payment exception report to identify problems and report to the Director of Reimbursement.
• Analyze managed care contracts for content and perform impact analysis of proposed fee schedule changes during contract negotiations.
• Collaborate with insurance company Provider Representatives to resolve contract conflicts (fee schedule variances, provider network status, etc.).
• Perform any other related duties as required or assigned.

Skills

Excel proficiency

Contract negotiation

Job description

Overview

Are you a reimbursement expert who thrives on solving complex challenges, influencing financial outcomes, and driving strategic healthcare initiatives? Join our team as a Senior Reimbursement Specialist and play a critical role in optimizing reimbursement performance across our organization.

In this high-impact position, you'll partner closely with the Director of Reimbursement to analyze reimbursement trends, negotiate managed care contracts, evaluate policy changes, and ensure our organization receives accurate and appropriate reimbursement for services provided. Your expertise will directly contribute to the financial health and operational success of our practices.

Responsibilities:

• Assist in the maintenance of fee schedules and procedure code constants to ensure up-to-dateinformation for determining allowable amounts and the accuracy of the insurance payment exceptionreport.
• Monitor the insurance payment exception report to identify any problems that should be reported tothe Director of Reimbursement.
• Perform analysis of managed care contracts for content and perform impact analysis of proposedfee schedule changes during contract negotiations.
• Work closely with insurance company Provider Representatives to resolve contract conflicts (i.e.,fee schedule variances, provider network status, denials, etc).
• Perform any other related duties as required or assigned

Education and Experience:

• Must be proficient in Microsoft Excel, including the ability to create, maintain, and analyzespreadsheets
• Have 5 years related experience and/or training.
• Experience in contracting and fee negotations with payers

About MANA Medical Associates of Northwest Arkansas (MANA) is an independent physician group that includes family medicine, pediatrics, women’s health and an array of specialists and advanced health services. MANA clinics are independent, physician-owned practices. As a physician-owned practice, our physicians can focus on compassionate, quality, patient care, and retain the quality, personal clinic environment. Physicians make decisions that shape excellent patient care in our practices. By working together, MANA physicians can responsibly manage the costs associated with health care, improve our practice efficiencies, and enhance overall care for patients. Our mission is to improve the quality of life by providing compassionate, comprehensive, quality healthcare.What We OfferAt MANA, you will receive more than just pay. We offer various benefits that matter most to you. MANA team members are eligible to receive benefits on the first day following 60 days of continuous employment. Below are some of our various benefit offerings:

• Comprehensive Benefits –
  • Medical & dental
  • 401(K) match and profit sharing
  • Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
  • Employer paid life, long-term & short-term disability benefits

• Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, and many more!
• One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics

Medical Associates of Northwest Arkansas (MANA) is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.