RCM Reimbursement Analyst

Overview

RCM Reimbursement Analyst

Envision Healthcare

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Envision’s core values drive continual advancement and ingenuity across the enterprise:

• Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
• Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
• Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
• Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
• Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
• Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We currently have an exciting opportunity available for a full-time RCM (Revenue Cycle Management) Reimbursement Analyst in our Conshohocken, PA Office.  

Responsibilities

Summary: 

The Reimbursement Analyst supports the Expected Pay area of the Reimbursement department by performing post-payment analysis to identify payment variances (overpayments and underpayments) and resolve issues directly with the payor. This position will be considered hybrid with a mix of at home and in office work. 

Essential Duties and Responsibilities 

• Performs analytical review of payment data to ensure proper payments using Excel, SQL, and Tableau 
• Reviews and confirms correct set up of new profiles in contract modeling system 
• Works closely with Managed Care executives to obtain contract requirements 
• Generates data queries to extract payment information from the billing system 
• Develops and uses database and tableau reports to monitor key data. 
• Other duties as assigned 

Qualifications

Qualifications: 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. 

• Strong analytical skills and attention to detail.  
• Demonstrate an ability to communicate and work well with others 
• Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks. 
• Rules/regulations of Medicare/Medicaid and other government payors as well as commercial insurers preferred. 
• Knowledge of Medical and insurance industry terminology preferred. 

Education/Experience: 

• Bachelor’s degree in Finance, Accounting or Healthcare administration preferred.   
• One to Two years’ experience in analytical work in reimbursement, financial management, managed care, or healthcare administration 

Computer Skills: 

To perform this job successfully, an individual should have knowledge of: 

• Microsoft Office Suite 
• Advanced Excel and Database skills  
• Billing systems 

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Healthcare is an Equal Opportunity Employer.

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