Insight Global is seeking Reimburse Analysts that will be supporting a hospital system in South Carolina. This role can be remote, but eligible candidates must live in SC, NC, GA or FL.
This position is responsible for: the enterprise-wide analytical support for billing and reimbursement-related issues. Functions as a specialist in the reimbursement of physician charges and the complete revenue cycle. Generates routine and ad hoc reports to Division and faculty regarding billing and collections, and performs analyses, detects billing issues, monitors trends and makes recommendations for corrective action when needed.
Other responsibilities include:
Coordinates, interprets and monitors all pertinent information relative to the revenue cycle departments. Demonstrates a high level of understanding of departmental operations and workflows. Prepares reports for Department and faculty. Analyzes reports which measure performance and effectiveness of the revenue cycle; detects trends or problems and makes recommendations for corrective action.
Maintains current knowledge of billing and reimbursement rules as designated by the Centers of Medicare and Medicaid Services (CMS), by various managed care companies, and other payers. Communicates all changes to faculty and department.
Analyzes accounts receivable and facilitates expeditious resolution. Identifies trends in payments and denials. Conducts financial analysis of payment trends for all services, reports findings and makes recommendations for improvement. Develops, distributes, and explains statistical reports to faculty to optimize billing. Conducts monthly/quarterly meetings to review revenue activities and develop action plans to improve financial performance.
Prepare and present monthly reporting to departments/faculty/physicians and make recommendations.
Review and keep abreast of changes in coding as well as documentation requirements. Communicates regularly and develops good working relationships with all areas of the revenue cycle to include managers and staff to resolve unpaid claims. Provides technical expertise in reimbursement and coding.
Develops performance indicators and quality control reports to identify trends and disseminate information to the appropriate external and internal parties.
Hours are M-F 8-5.
-Bachelors Degree in Business Administration, Accounting, Management Information Systems or a related discipline
-Excellent computer skills (MS Word, PowerPoint, Excel)
-Advanced knowledge of financial systems (including skills with other business intelligence and analytical tools)
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.