Payment Validation Analyst

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Colorado, +14 more states – Remote

🏈 Alabama – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Mosaic Life Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

🏥 Healthcare

💰 $250k Grant - Mosaic Life Care on 2023-08

Healthcare

Mosaic Life Care is a regional health system and medical provider based in Northwest Missouri. As a member of the Mayo Clinic Care Network, Mosaic provides a wide range of outpatient and acute care services across medical centers and clinics, offers urgent care (including an online "Hold My Spot" feature), a Community Nurse Line, online patient portal (myMosaic by MyChart), cardiac scoring screening, and patient-facing services like scheduling, billing, and medical records access. The organization emphasizes community-focused healthcare and access to Mayo Clinic expertise for local patients.

📋 Description

• Analyze contractual underpayments and resolve daily encounters in Epic work queues • Identify root causes and implement corrective actions • Resolve price and contract discrepancies in Epic work queues • Work with CDM Analysts and Revenue Integrity Analysts to implement fee schedule corrections • Perform rebill projects focused on recoupment of underpayments • Serve as a subject matter expert on payer reimbursements and contracts • Research non-covered and denied charges and assist the Revenue Integrity Manager with appeals • Identify coding, charging, and billing issues or patterns causing inaccurate payment • Educate appropriate staff and monitor rebilled accounts to ensure proper payment • Prepare monthly measurement reports using Epic reports, including findings, follow-up actions, and recommendations requiring director approval • Create and maintain contracts in Epic • Assist with new program start-up and identify reimbursable services that are not coded or charged • Research and resolve CPT code, revenue code, and charge master issues • Coordinate routine individual projects by planning and organizing project steps • Use logical sequential steps and flowchart techniques with minimal direction • Perform other duties as assigned

🎯 Requirements

• Bachelor's Degree - Required • H.S. Diploma - Required • Minimum five years' experience and knowledge of hospital financial operations including reimbursement, Medical Billing, Charge Master Development and Maintenance, Medical Records/Coding and Charge Audit experience - Required • Broad based knowledge of hospital financial operations including reimbursement, coding and charge master development and maintenance - Required • In-depth knowledge of CPTs, HCPCs and ICD-10 medical coding, and related APC Medicare reimbursement - Required • Ability to input data, type, manipulate a calculator and small business equipment, speak clearly and professionally, answer telephone, and perform copying • Oral and written communication skills with staff, leadership, physicians and consultants, individually and on teams • Ability to analyze, synthesize, evaluate, comprehend, explain, understand, forecast, interpret, manipulate numbers, interpret data, calculate, organize, plan, and present to small and large groups • Highly energetic, motivated self-starter • Ability to determine areas of concern • Accuracy important 95% of the time • Confidentiality important 100% of the time • Travel to off-site locations may be required - Required • Epic Contracts Module Certification - Preferred Upon Hire

🏖️ Benefits

• Concierge services • Employee lounge • Wellness programs • Free covered parking • Free on-site and virtual health clinics • Compensation and recognition programs