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Overview



Summary

The Payment Reimbursement Analyst is responsible for identifying payer accounts to determine compliance with payer contracts. The analyst will audit these accounts and follow up with payers on resolution on reimbursement discrepancies. This position will play a key role in departmental projects pertaining to quality and performance improvement. Performs other duties as assigned.

Responsibilities

+ Serve as subject matter experts and resources on interpretation of payor contract language to ensure appropriate reimbursement by insurance companies.

+ Identify, analyze and report trends in repayment issues to leadership.

+ Complete special AR projects to help liquidate key segments of Baptist aging AR.

+ Participates in the development of the department long-term and short-term goals, objectives plans, policies and procedures.

+ Applies consistent and standardized reporting of findings and repayment calculations.

+ Communicates with insurance companies daily.

Requirements, Preferences and Experience

Education

Preferred: Bachelor's degree in healthcare, accounting, Business or other related field

Minimum: Associates Degree in Accounting, Finance, or Business. Or an equivalent combination of previous related payment reimbursement experience and education.

Experience

Minimum: Two (2) years of experience working in accounting, finance, or a hospital revenue cycle environment.

Special Skills

Minimum: Strong analytical skills. Good verbal and written communication skills in the English language. Excellent computer skills and knowledge of Microsoft Excel and Word. Knowledge of healthcare receivables.

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry—healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer:

+ Competitive salaries

+ Paid vacation/time off

+ Continuing education opportunities

+ Generous retirement plan

+ Health insurance, including dental and vision

+ Sick leave

+ Service awards

+ Free parking

+ Short-term disability

+ Life insurance

+ Health care and dependent care spending accounts

+ Education assistance/continuing education

+ Employee referral program

Job Summary:

Position: 13721 - Analyst-Reimbursement Variance

Facility: BMHS - Regional Business Office Jackson

Department: Revenue Cycle-Rev Enhancement

Category: Finance and Accounting

Type: Non Clinical

Work Type: Full Time

Work Schedule: Days

Located in the Jackson, MS metro area

REQNUMBER: 27728