Reimbursement Analyst

Join the growing Patient Financial Services team as the Reimbursement Analyst

Compensation: generally, between $24.00-$28.80, and placement in the range depends on an evaluation of experience

Location: The VIC (18110 SE 34th Street - Vancouver, WA 98683)

Schedule: Monday through Friday, 8a-5p

In this role, you will: identify, analyze, and resolve payor underpayments to ensure accurate reimbursement.

Review contracts, evaluate claims and payments, and prepare/track appeals.

Key responsibilities:


* Interpret payor contract rates, identify relevant fee schedules, and accurately calculate expected reimbursement


* Analyze the impact of billing modifiers on reimbursement and apply this knowledge to validate payments and identify underpayments or discrepancies.


* Analyze trends related to underpayments, CPT/HCPCS codes, and modifiers


* In collaboration with payer representatives, resolve reimbursement discrepancies

To be successful in this role: worked with/have experience of payer contracts


* Have strong analytical and problem-solving skills


* Effectively communicate and collaborate with internal and external teams


* Adapt to change and manage ambiguity


* Efficient use of time and resources with a continuous improvement mindset

Requirements:


* High school diploma or equivalent required.


* AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials preferred.


* Minimum three years of experience in medical billing and collections or coding required.


* Working knowledge of ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI) required.


* Epic EHR and Experian Contract Manager experience preferred.


* Knowledge of government, commercial, and third-party insurance contract practices and the claims processing procedures preferred.


* Must have demonstrated competence with computer systems including electronic health records, and Microsoft Office Suite required.


* Ability to interpret insurance medical policies and procedures.


* Experience working in a medical office setting required, with demonstrated understanding of standard insurance reimbursement methodologies.

Additional Information : Vancouver Clinic provides care across a wide range of medical decisions.

This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment.

The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic.

This position may require that employees have and maintain an activated smartphone that receives text messaging and/or ability to have a required app such as authenticator apps as some job functions require use of multi-factor authentication (MFA).

Pay Range:
$22.98 - $32.17

The abov...