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Institutional Reimbursement Analyst

Company: Atlas
Location: Newark
Posted on: January 24, 2023

Job Description:

Job Title: Institutional Reimbursement Analyst
Job Location: Newark - NJ
Job Duration: 06 Months of Contract

Job Description


  • The Institutional Reimbursement Analyst II process inquiries initiated by hospitals and ancillary providers.
  • The Institutional Reimbursement Analyst II represents Client with external and/or internal customers as a subject matter expert and reference point to providing resolution to difficult and complex matters.
  • This position is responsible for claim adjustments, explaining denials and A/R reconciliations and developing process improvements to ensure continuous problems will be corrected.
  • The position will act as a liaison between the Hospital Community including Client Alliance Partners, Network Hospital Relations, Ancillary Contracting, and Provider Services.

    Responsibilities


    • Responsible for working directly with the Hospital Community to resolve outstanding accounts on first contact and determine action steps needed to provide the best service model.
    • Review and compile monthly, quarterly, and annual reports on quality statistics in order to provide recommendations for process improvement and best practices.
    • Partner with facility employees to identify and bridge financial gaps, i.e., resolving open Accounts Receivables (ARs), claim payment issues, etc.
    • Researches, recommends, and develops procedural, systemic or other revisions to increase departmental efficiency, accuracy and productivity in service.
    • Maintains thorough knowledge of all processing systems within Service. Review and adjust claims off site and in house as needed.
    • Provide on-site support in Alliance Partner's two to three times a week on an as needed basis. (Co-location has been replaced with standing conference calls and or web-ex meetings during COVID).
    • Facilitate and participate in Hospital Seminars to ensure coverage of all current claim issues/concerns.

      Required Experience


      • Prefer a minimum of 1-2 years researching and investigating customer service inquiries.
      • Strong Customer Service skills.
      • Knowledge of claim processing systems. NASCO knowledge preferred
      • Strong PC Skills.
      • Analytical Thinking, Critical Thinking, Organizational Skills and strong Written Communication Skills.
      • Problem solver
      • Strong organizational skills
      • Active listening skills
      • Requires knowledge of medical terminology
      • Requires Good Oral and Written Communication skills
      • Prefer the ability to analyze and resolve problems with minimal supervision
      • Prefer the ability to use a personal computer and applicable software and systems
      • Team Player, Strong Analytical, Interpersonal Skills
      • Requires ability to make sound decisions under the direction of Supervisor
      • Prefer knowledge Managed Care principles
      • Prefer knowledge of contracts, enrollment, billing & claims coding/processing

Keywords: Atlas, Newark , Institutional Reimbursement Analyst, Professions , Newark, New Jersey

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