Job Description

Job Title: Reimbursement Analyst
Job ID: 11012858
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

Are you  interested in building a rewarding career? This is a great position for talented candidates who are enthusiastic about using their accounting and billing skills to make a difference in the world of health care. Join our team today!

Purpose:
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:
  • Obtain and maintain current knowledge of the requirements, standards, practices, and preferences of the Agency services and the requirements, standards, practices, and preferences of the payers of those services
  • The computer systems used to manage reimbursement and customer records
  • Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior
  • Educate and require adherence to performance improvement processes and initiatives
  • Represent and participate in Agency professional and community activities as requested
  • 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
  • Promote personal and co-worker safety during work duties
  • 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
  • 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
  • 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

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 
  • Valid PA drivers' license and proof of auto liability required

Licensure, Certifications, and Clearances:
  • Act 34

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

    Salary Range: $15.34 to $24.44 / hour

    Union Position: No

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