Reimbursement Specialist Cash Control Analyst

at Intermountain Health in

Dover, Delaware, United States Job Description 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 provides 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. Trains and mentors' new associates to the department. Serves as a subject matter expert and resource to answer questions within the department. Skills + Billing + Customer Follow-Ups + People Management + Payment Handing + 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 contra To view full details and how to apply, please login or create a Job Seeker account