Reimbursement Analyst Resume Samples - Page 2

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Reimbursement Analysts work in medical facilities and determine patient reimbursement amounts. Essential job responsibilities of a Reimbursement Analyst are processing reimbursement requests, assisting patients, answering to inquiries, maintaining their knowledge of payer policies, analyzing data and documents, and maintaining records. A successful resume sample in the field should mention skills such as knowledge of reimbursement policies, customer service, strong numeracy abilities, effective communication, conflict resolution, recordkeeping, and computer competences. Business training is seen on most eligible resumes, but candidates holding just a high school diploma may also be accepted.

11

Reimbursement Analyst

  • Prepared annual Medicare and Medicaid cost reports.
  • Prepared monthly hospital cost reports as assigned.
  • Assisted in the creation and development of training manuals.
  • Coordinate internal/external audits.
  • Book monthly accruals and settlements.
  • Conducted analysis of financial statements and associated risks.
  • Interpret state and federal regulations regarding cost reporting.
  • Evaluate profit and loss statements and compliance to budget.
  • Participate in special projects and perform other tasks as assigned.
Candidate Info
16
years in
workforce
15
years
at this job
BS
Business Administration
MA
Social Work
MA
Management
12

Reimbursement Analyst

  • Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
  • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Reports any reimbursement delays to supervisor (e.g. billing denials, claim denials, pricing errors, payments, etc.)
  • Analyzes collection reports, identifying opportunities for work process improvements with respect to claims denials. Works cross teams on strategies to improve front end related issues. Provides all necessary documentation required to expedite payments. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
  • Coordinates with inter-departmental associates to obtain appropriate information as they relate to the reimbursement process. Maintains confidentiality in regards to patient account status and the financial affairs of pharmacy/corporation. Communicates effectively to payors to ensure accurate and timely electronically filed claims. Typically receives little instruction on day-to-day work, general instructions on new assignments. Performs related duties as assigned.
Candidate Info
12
years in
workforce
1
year
at this job
BA
Business Administration
13

Reimbursement Analyst

  • Assist management in developing policies, procedures, reports and other tools to improve work productively
  • Revise and update benefit plan documents; draft clear and concise written correspondence of guidelines, health education, operational manuals, or instructions for dissemination: Standard Operating Procedures (SOPs) and Desk Top Procedures, memos, fact sheets, program briefings, questions and answers, and program summaries
  • Prepare health care data reports; prepare presentation materials for meeting, briefing with senior management and/or other personnel to inform them of trends and requirements; translate complicated data into useable information
Candidate Info
5
years in
workforce
5
years
at this job
HS
High School Diploma
AA
Associate of Arts
BS
Business
14

Warranty Reimbursement Analyst - Contractor

  • Review and evaluation of labor and parts reimbursement from dealer network.
  • Comprehensively analyze and evaluate each request in its entirety then present final outcome of review to Warranty Information Intelligence
  • Compile data and create monthly executive Aftersales reports for management.
  • Compile data and create monthly labor and parts reports.
  • Find, compile and process data to be presented to project lead.
  • Interact with field personnel, legal department, and other business partners regarding matters pertaining to specific parts and labor topics.
  • Review and update legal requirements of each state for Warranty related laws.
  • Perform analyses using Hyperion and COGNOS.
Candidate Info
21
years in
workforce
2
years
at this job
BA
Political Science
MBA
Management
15

Senior Reimbursement Analyst

  • Calculate hospital/physician month-end contractual allowances
  • Prepare monthly analysis of hospital/physician net patient revenue and bad debt expense
  • Coordinate & prepare work papers for audit of Medicare/Medicaid cost reports
  • Field reimbursement inquiries from Patient Financial Services and department managers
  • Maintain the Contract Maintenance Module for Epic for Medicare and Medicaid
  • Collaborate on Medicare/Medicaid rate changes with Patient Financial Services, Information
  • Prepare hospital/physician budget on contractual allowances and bad debt expense
  • Coordinate Medicare Wage Index and Occupational Mix Surveys
  • Research and report impact of Medicare reimbursement issues
  • Supervise duties of the Reimbursement Assistant
Candidate Info
24
years in
workforce
11
years
at this job
AA
Business
BS
Accounting And Business Administration

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