reimbursement Specialist Cash Control Analyst

Job Description:

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. 

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 contract interpretation

Physical Requirements

• 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.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.