Sr Reimbursement Analyst

Pricing And Claims Payment Specialist

This employee will review and implement all pricing and claims payment information associated to contractual obligations, payer fee schedule changes, and posted policy updates for multiple locations.

• Ensures revenues are accurately recognized and at full potential
• Works with Managed Care Contract administrators, regional billing offices, and centers to ensure contract terms are input into the billing software and are being followed
• Day to day workings of individual office
• Running A/R Reports, customer lists, and reviewing revenue reports for potential issues
• Works with billing offices on revenue issues and training issues as needed
• Deliver directives from Corporate office as they apply to fee schedule changes and claims payment
• Assist in identifying areas that need to be reworked/addressed
• Create and maintain pricing matrices and payer setups associated as directed

• Working knowledge of Microsoft Office products especially Excel
• Intermediate use of Excel formulas such as V-Lookup preferred
• Typing skills and 10-key required

Education and Experience:

• Associates Degree (AA) or equivalent from two-year college or technical school, or six months to one year related experience and/or training, or equivalent combination of education and experience