Reimbursement Analyst, Full Time, Days (8a-4p), Morristown, NJ

Under general supervision by the department's Manager of Governmental Billing and Reimbursement, this position is responsible for the accuracy and integrity of the accounts receivable for all AHS sites. This position also provides communication regarding reimbursement issues or trends from Governmental payers, along with providing education to team members, training in collaboration with the Supervisor and follow as necessary for proper reimbursement.

Job Responsibilities

• Analyze hospital claim and reimbursement data to identify contractual underpayments or billing errors.
• Pursue underpayments with insurance provider representatives via monthly teleconference to effectively resolve complicated accounts where AHS is not in agreement with ow the carrier processed the accounts
• Provide management payor reports to identify trending contractual issues
• Compile queries and complex data sets to analyze payor reimbursement using EPIC reporting tools
• Reviewing contracts for accurate payments and identifying payor trend issue with payment or codes.
• Thorough knowledge and understanding of regulatory and insurance requirements
• Performs other duties as assigned

Required

• Associate or bachelor’s degree in accounting, business or related field.
• 3-5 years’ experience working in Hospital Biling for Medicare/Medicaid or relevant area
• Experience in conducting analysis of third-party reporting.
• Must be proficient in Word, Excel, and other Microsoft office applications.
• Must have excellent communication skills; must be able to articulate in a clear and concise manner orally and in written form

Preferred

• Experience with Hospital Cost Reporting.
• Experience and knowledge of Clinic Reimbursement rules and practices.

Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Our mission is to deliver exceptional care recognizing the unique needs of all those we serve. Our vision is to achieve the best outcomes with our patients at the center of the physician-led team, driven by service, innovation and continuous learning.

Our integrated network offers seamless access to Atlantic Health's entire health care continuum and our nationally and regionally ranked hospitals. In collaboration with Atlantic Health, several of our practices offer urgent care and walk-in services.

In addition to primary care physicians, the team includes specialists that care for patients in all aspects of their health from pediatrics to geriatrics and everything in between. We make health decisions easier for patients with enhanced access to referrals.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.