What are the responsibilities and job description for the SBO Managed Care Denial Analyst position at RUSH Copley Medical Center?
Responsible for analyzing the hospital and physician current accounts receivable for Managed Care, finding underpayments and rebilling the insurance carriers to maximize reimbursement under our contracts. Bills all special devices per contract to receive the additional reimbursement and suggests ways to improve future cash flow, providing ad hoc reports to management.
- Completes all follow-up bills and corrections for accounts identified as underpaid on a daily basis.
- Works follows-up and closes BDC records, rebilling and appealing records.
- Correctly reviews and processes all billing forms, itemized bills, UB’s, 1500’s and patient statements according to procedures to ensure the accuracy of information.
- Correctly compiles and sends invoices and special device carve out billing to payers as required by the Managed Care/WorkComp contracts, following up to ensure reimbursement, reporting current status monthly.
Must have 3-5 years of Hospital Patient Accounting experience and at least 1 year of managed care responsibility desired. Demonstrats a strong knowledge of third party Medicaid and replacement payers and some local HMO/PPO's. Excellent communication skills. Prefer EPIC experience
$25.95 - $38.93 Hourly
RUSH salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects RUSH’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Benefits can be found here.
Salary : $26 - $39
