Reconciliation of unposted and posted cash with the cash management tools and Epic
Along with variance reporting, G/L reconciliation and Third-Party biller support and customer service
Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid
Identifying trends through reporting and data analysis
Log findings and provides feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership
Perform root cause analysis and recommend and develop process improvement
Serve as a liaison to internal teams
Help design and implement improvements to reimbursement process flows
Work with managed care to ensure knowledge and interpretation of managed care contracts are aligned
Work with Compliance, Finance and Government insurance follow up teams
Initiate contact with technical teams to work through technical builds and enhancements
Participate and lead special projects, as assigned
Oversee workflow implementation with partners
Compile and coordinate materials and feedback on special projects
Trains and mentors' new associates

High School Diploma or Equivalent, required
Three (3) years of experience in revenue cycle insurance follow up or denial management, required
Associate's degree, preferred
Three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred
Extensive knowledge of managed care contract interpretation

generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.

Reimbursement Specialist, Cash Control Analyst

Key skills