TEKsystems Hospital Reimbursement Analyst (Remote) in Farmington, Connecticut

June 11, 2024

Job Description


Job Summary: We are seeking a detail-oriented and experienced Reimbursement Analyst to join our Clinical Business Services Department. The ideal candidate will be responsible for analyzing and reviewing reimbursement processes, ensuring compliance with healthcare regulations, and maximizing revenue through efficient billing practices.

Key Responsibilities:

  • Develops techniques for effective analyses of reimbursement trends.

  • Reviews, analyzes and interprets insurance payments and denials to ensure proper payment.

  • Works with billing supervisors to modify billings to meet contract specifics, as well as charge-master analyst.

  • Develops and maintains system for tracking and evaluating performance of insurance carrier to maximize reimbursement and ensure billing compliance with audit standards.

  • Provides reimbursement patterns and trends to the management.

  • Prepares reports and analyses to include financial reports, setting forth progress, adverse trends and appropriate recommendations and conclusions.

  • Submits external reports and handles all edits and changes required by meeting with appropriate departments to obtain correct data.

  • Monitors and evaluates current reimbursement rules and changes that impact revenue capture and communicates this information to the clinical faculty, staff, and billing personnel.

  • Provides in-service training for finance personnel; develops and recommends policies and procedures.

Qualifications:

  • Minimum of 2- 4+ years of experience in healthcare reimbursement or a similar role.

  • Strong understanding of medical billing codes, insurance, and healthcare regulations.

  • Proficient in data analysis and financial modeling.

  • Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related field.

  • EPIC experience preferred.

Details:

  • 100% remote – equipment provided.

  • Schedule: Monday – Friday | 8:00am – 4:30pm (EST)

  • Pay: $40 – $45/hr. based on related experience.

  • Pay cycle – weekly | medical, dental & vision benefits offered.

    About TEKsystems:

We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That’s the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.









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