Analyst-reimbursement

EXAMPLES OF DUTIES: Develops techniques for effective analyses of reimbursement trendsReviews, analyzes and interprets insurance payments and denials to ensure proper paymentWorks with billing supervisors to modify billings to meet contract specifics, as well as charge-master analystRecommends updates to charge masterDevelops and maintains system for tracking and evaluating performance of insurance carrier to maximize reimbursement and ensure billing compliance with audit standardsProvides reimbursement patterns and trends to the managementPrepares reports and analyses to include financial reports, setting forth progress, adverse trends and appropriate recommendations and conclusionsSubmits external reports and handles all edits and changes required by meeting with appropriate departments to obtain correct dataMonitors and evaluates current reimbursement rules and changes that impact revenue capture and communicates this information to the clinical faculty, staff, and billing personnelProvides in-service training for finance personnelDevelops and recommends policies and proceduresSchedules assigns, oversees and review work of assigned staffApplies personnel policies and proceduresPrepares or assist in the preparation of the department budget subject to administrative reviewActs as liaison with other operating units, agencies and outside officials regarding third party reimbursementsMay assist in the preparation of profit and loss statementsPerforms other related duties