Senior Medical Reimbursement Analyst

Job not on LinkedIn

🔥 1 minute ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $18 - $28 / hour

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Center for Health Care Strategies

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1998

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Resolve open high-dollar insurance balances through collections. • Research unpaid, underpaid, and denied high-dollar insurance claims and apply contractual billing and payment guidelines. • Work accounts until charges are paid or denied by the insurance carrier while maintaining process efficiency and production levels. • Apply reimbursement principles across billing, coding, reimbursement, recovery, and patient responsibility. • Track high-dollar balances and identify and report payer trends and issues to management and huddle board. • Pursue payment from payers for denials and underpayments through email, appeals, and other communication methods. • Enter patient demographics, guarantor, and coverage information into Epic. • Perform retro adjudication, change filing order, request adjustments or reversals, and refile claims. • Resolve discrepancies and maintain professional interactions with insurers and insured patients. • Collaborate with revenue-cycle departments and attend internal and external meetings. • Maintain awareness of insurance and system changes, payer plan standards, and contractual updates. • Apply balance adjustments and bill guarantors for patient responsibility when applicable.

🎯 Requirements

• High school diploma • 1 year of experience