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. We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states:
California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.

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 over payment 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.

Billing Customer Follow-Ups People Management Payment Handing Management Reporting Managed Care Taking Initiative Reconciliation Reading and EOB Analytics

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

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.

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. $24.60 - $37.46

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