Reimbursement Specialist Cash Control Analyst

Job Description Reconciliation of unposted and posted cash with the cash management tools and Epic. Along with variance reporting, G/L reconciliation and Third-Party biller support and customer service. Essential Functions Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based upon established protocols. Identify trends through reporting and data analysis and leverages data to resolve errors in Epic proration rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. Log findings and provide feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. Perform root cause analysis and recommend and develop process improvement. Serve as a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors to leverage contract terms and mitigate revenue leakage and denials. Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue. Work with Managed Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system contracting efforts. Work with Compliance, Finance and Government insurance follow up teams to stay abreast of legislative changes impacting revenue and driving payment variances. Initiate contact with technical teams to work through technical builds and enhancements for the Payment Variance team. Participate and lead special projects, as assigned. Oversee workflow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Train and mentor new associates to the department. Serve as a subject matter expert and resource to answer questions within the department. Skills Billing Customer Follow-Ups People Management Payment Handling Management Reporting Managed Care Taking Initiative Reconciliation Reading and EOB Analytics Qualifications High School Diploma or Equivalent, required Three (3) years of experience in revenue cycle insurance follow up or denial management, required Associate's degree, preferred Three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred Extensive knowledge of managed care contract interpretation The following states are currently paused for sourcing new candidates or for new relocation requests for current caregivers: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington. Physical Requirements Interact with others by effectively communicating, both orally and in writing. Operate computers and other office equipment requiring the ability to move fingers and hands. See and read computer monitors and documents. Remain sitting or standing for extended periods of time to perform work on a computer, telephone, or other equipment. May require lifting and transporting objects and office supplies, bending, kneeling, and reaching. Location Peaks Regional Office Work City Broomfield Work State Colorado Scheduled Weekly Hours 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $24.00 - $36.54 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here ( Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. All positions subject to close without notice. #J-18808-Ljbffr Intermountain Health