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Reimbursement Analyst

  • Job ID: 06772690
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Home Nursing Agency
  • Department: Billing - Reimbursement
  • Location: 201 Chestnut Avenue, Altoona PA 16603
  • Union Position: No
  • Salary Range: $15.34 to $24.44 / hour

Description

Are you a professional interested in building a rewarding career? This is a great position for talented candidates who are enthusiastic about using their skills to make a difference in the world of health care. Our fast-paced environment makes it an exciting place to work for results oriented and driven self-starters. 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 ofThe requirements, standards, practices, and preferences of the Agency services The requirements, standards, practices, and preferences of the payers of those servicesThe 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 Travel: Position requires travel to various office sites

Licensure, Certifications, and Clearances:
  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Total Rewards

    More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

    Our Values

    At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

       Current UPMC employees must apply in HR Direct

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