Reimbursement Analyst- Hematology/Oncology, Hicksville, Long Island, New York, Full Time, Days, Offsite
Reimbursement Analyst- Hematology/Oncology, Hicksville, Long Island, New York, Full Time, Days, Offsite
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Salary Not Disclosed
1 Vacancy
Job Description
The Reimbursement Analyst initiates systems to capture all inpatient and outpatient charges. Monitors managed care commercial and federal contracts to assure the recovery of all inpatient and outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines.
Responsibilities
1. Assures that fee schedules Current Procedural Terminology (CPT) and International Statistical Classification of Diseases (ICD-9) codes are accurately entered in the billing system.
2. Identifies and defines appropriate CPT codes for existing and new services. Assures that updated fee schedules for Medicare Medicaid commercial and managed care carriers are correctly entered in the billing system.
3. Analyzes payments for high volume and high dollar procedures to assure that Medicine FPA billing is paid appropriately; analyzes payment trends to identify patterns of payment denials.
4. Coordinates initiatives with the billing and collection area to initiate plans for resolving billing disputes.
5. Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations.
6. Provides on-going in-service training for staff on proper coding guidelines insurance regulations medical records and physician documentation and signature requirements.
7. Performs other related duties.
Qualifications
- 4 years of insurance billing and collection procedures in a health care environment.
Required Experience:
IC
Employment Type
Full-Time
