Payer Reimbursement Analyst

The Payer Reimbursement Analyst is responsible for USPI Hospital CSO follow up operations, meeting goals and company objectives, in assigned areas of payment integrity and internal control coordinator (refunds), and self-pay, using any patient accounting system. The Payer Reimbursement Analyst must ensure that all processes meet all government mandated procedures for integrity and compliance. Performs all responsibilities in a prompt and efficient manner. Must be detail oriented to meet multiple deadlines while working independently and/or in small groups. Revenue Cycle Cash Operations knowledge is required, and accounting experience is preferred. The Payer Reimbursement Analyst reports to the Payment Integrity/ ICC manager.

Responsibilities:

• Reconcile Bank Accounts to daily deposits using established controls for CSO and facility.
• Reconcile patient account postings to deposits in bank.
• Produce month end finance reports.
• Handle non patient cash.
• Reconciliation of the GL.
• Manage Intercompany Transfers.
• Contact insurance companies to identify missing checks/remits.
• Identify any deposits or posting issues and notify BOM and Manager of issue.
• Communicate with the BOMS at the facilities for missing deposits and reconciliations issues.
• Transfer payments to and from the various USPI vendors.
• Resolve unapplied cash issues.
• Effectively communicate with facilities for balancing purposes
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
• Contacts/Interacts with: Hospital leadership, including but not limited to VP, CFO, BOM and CSO staff; Management at USPI home office; Accountants, Accounts Payable, Patients, other facility staff and physician offices.

•Education: Bachelor’s degree or equivalent relative work experience.
•Experience (Type & Length): 5 years’ experience in revenue cycle operations.
•5 plus years in Cash and or Accounting Operations
•Maintain current knowledge and adhere to appropriate regulatory standards such as Government.
•Effective English communication skills, both written and verbal.
•Experience with patient accounting systems and billing/claim submission software and web portals a must.
•Knowledge of revenue cycle and/or business office procedures.
•Ability to utilize basic Microsoft Office programs.
•Moderate to advance level of excel knowledge-including pivot tables.
•Work with appropriate internal and external teams to correct discrepancies identified during reconciliation.
•Create different reports to share with other team members\Highly detail oriented and well organized.
•Ability to read, understand and follow oral and written instructions.
•Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of USPI.