Reimbursement Analyst

Vancouver, WA - USA

Monthly Salary: $ 23 - 28

Posted on: 12 hours ago

Vacancies: 1 Vacancy

Job Summary

Join the growing Patient Financial Services team as the Reimbursement Analyst

Compensation: generally between $23.40-$28.05 and placement in the range depends on an evaluation of experience

Location: The VIC (18110 SE 34th Street Vancouver WA 98683)

Schedule: Monday through Friday 8a-5p

In this role you will: identify analyze and resolve payor underpayments to ensure accurate reimbursement. Review contracts evaluate claims and payments and prepare/track appeals.

Key responsibilities:

Review payments against contracts fee schedules and reimbursement policies
Identify underpayments and improper denials; prepare and submit appeals
Analyze trends related to underpayments CPT/HCPCS codes and modifiers
In collaboration with payer representatives resolve reimbursement discrepancies

To be successful in this role:

Have strong analytical and problem-solving skills
Effectively communicate and collaborate with internal and external teams
Adapt to change and manage ambiguity
Efficient use of time and resources with a continuous improvement mindset

Requirements:

High school diploma or equivalent required.
AHIMA (CCA CCS CCS- or RHIT); AAPC (CPC CPC-A CPC-H CPC-H-A or one of the relevant AAPC specialty-specific coding credentials preferred.
Minimum three years of experience in medical billing and collections or coding required.
Working knowledge of ICD-10 CPT and HCPCS coding and Correct Coding Initiatives (CCI) required.
Epic EHR and Experian Contract Manager experience preferred.
Knowledge of government commercial and third-party insurance contract practices and the claims processing procedures preferred.
Must have demonstrated competence with computer systems including electronic health records and Microsoft Office Suite required.
Ability to interpret insurance medical policies and procedures.
Experience working in a medical office setting required with demonstrated understanding of standard insurance reimbursement methodologies.

Additional Information: Vancouver Clinic provides care across a wide range of medical decisions. This includes care and opinions on vaccinations reproductive health end-of-life decision-making and gender affirming treatment. The ability to work with or without reasonable accommodation with a diverse population of patients and colleagues seeking or considering care in all areas is an essential function of all positions at the Clinic. This position may require that employees have and maintain an activated smartphone that receives text messaging and/or ability to have a required app such as authenticator apps as some job functions require use of multi-factor authentication (MFA).

Pay Range:

$22.98 - $32.17

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties responsibilities and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical dental vision life insurance AD&D long term disability health savings account flexible spending account employee assistance program and multiple supplemental benefits (voluntary life critical illness accident hospital indemnity identity theft protection legal services etc.). We also offer a 401k retirement plan along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department position type primary work state and FTE. Contact your Recruiter for full information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race color gender disability veteran military status religion age creed national origin gender identity or expression sexual orientation marital status genetic information or any other basis prohibited by local state or federal law.

Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.

Required Experience:

Join the growing Patient Financial Services team as the Reimbursement AnalystCompensation: generally between $23.40-$28.05 and placement in the range depends on an evaluation of experienceLocation: The VIC (18110 SE 34th Street Vancouver WA 98683)Schedule: Monday through Friday 8a-5pIn this role yo...