Job Description

Job Title: Reimbursement Analyst
Job ID: 739194
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Home Nursing Agency
Department: Billing - Reimbursement
Location: 201 Chestnut Avenue, Altoona PA 16603

Description

The mission of Home Nursing Agency is dedication to the highest quality of customer service delivered with a sense of warmth, kindness and individual pride.

Responsibilities:
  • Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior
  • Educate and require adherence to performance improvement processes and initiatives
  • Expand knowledge and expertise through educational resources and literature review
  • Maintain and protect customer and Agency confidentiality
  • Maintain personal productivity by demonstrating satisfactory attendance and punctuality
  • Manage specific customer receivable accounts Monitor customer account details for non-payments, delayed payments, and other irregularities Initiate communication with customers and payers to:  Negotiate payment plans and account adjustments Resolve inaccuracies and/or provide additional information Investigate and resolve issues with Agency program staff, using the Billing Communication system Collaborate with Agency Accountants to investigate and resolve account issues Reconcile, adjust and allowance accounts, according to Agency guidelines Apply cash payments and allowances to relieve customer accounts, according to Agency procedures
  • Obtain and maintain current knowledge of The requirements, standards, practices, and preferences of the Agency services The requirements, standards, practices, and preferences of the payers of those services The computer systems used to manage reimbursement and customer records
  • Prepare and submit billing statements in electronic and paper formats Review billing statements for coding, pricing, and service accuracy Resolve inaccuracies prior to submitting the statement, using the Billing Communication system Submit accurate and timely billing statements that meet the requirements of each specific payer
  • Promote personal and co-worker safety during work duties
  • Provide non-account specific support Prepare bank deposits Respond to customer requests for information and customer account records Assist in Agency financial and program audits, as needed Maintain accurate filing and record systems Create regular and periodic reports as needed or requested
  • Represent and participate in Agency professional and community activities as requested

Qualifications

  • Education: Associate degree preferred 
  • Experience: 2-5 years in healthcare billing or collections or no experience required with a 2 or 4 year Degree  
  • Computerization Skills: Proven competency in EXCEL, Microsoft Office 
  • Travel: Position requires travel to various office sites, valid PA drivers license and proof of auto liability required

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $14.45 to $23.02

Union Position: No

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