The Senior Reimbursement Analyst position is responsible for intervention and follow-up on accounts that require clinical interpretation and analysis along the revenue cycle
Job Summary
The Senior Reimbursement Analyst position is responsible for intervention and follow-up on accounts that require clinical interpretation and analysis along the revenue cycle.
This position requires a high level of clinical knowledge and the ability to use a work proficiently in the Integrated Health Information Systems (IHIS).
This positions requires that the individual be able to identify trends and offers suggestions for process improvement to support avoidance of and recoupment of lost revenue.
Matching Summary
The Senior Reimbursement Analyst position is responsible for intervention and follow-up on accounts that require clinical interpretation and analysis along the revenue cycle.
Skills & Requirements
Must-have
clinical interpretation and analysis
revenue cycle
pre-certification
rejected accounts
IHIS proficiency
trend identification
process improvement suggestions
Nice-to-have
education and communication
avoidance of lost revenue
recoupment of lost revenue
Key Requirements
Associate or Bachelor Degree in Nursing preferred
Minimum of 3 years oncology experience
Experience with Windows, Excel, Access, and Intranet/internet navigation tools
Minimum of 3 years experience in oncology
Knowledge of Medicare and commercial insurance reimbursement
Strong knowledge of ICD-10-CM, HCPCs, and CPT coding preferred
Excellent verbal and written skills
Proficient in computer based research and medical record documentation