Finance and Accounting Job In Alamogordo, New Mexico
Reimbursement Analyst- 813056
Alamogordo, New Mexico 88310 Type of Facility: Hospital
- Reviews payer EOB’s but not limited to payment accuracy, patient liability, and appeal grievances
- File appeals on underpayments
- Forward appeal letters to scanning
- Generate reports from the Managed Care module to identify issues but not limited to underpayments, total charge adjustments, missing calculations, and contract accuracy
- Generate reports from the Managed Care module to assist management identifying payer problem accounts
- Create a monthly Medicaid HMO underpayment report for the CFO
- Process incoming mail correspondence from payers within 3 business days.
- Follow up with the payer via phone and/or the website as needed
- Enter detailed notes explaining account activity in the Patient Accounts system including expected payment calculation
- Identify payer trends for resolution
- Report payer trends to the Director and/or Assistant Director of Patient Financial Services
- Assist the Reimbursement Specialist when needed
- Respond to patient inquiries within 2 business days
- Respond to interdepartmental inquiries within 2 business days
- Respond to payer requests within 2 business days
- Respond to emails within 2 business days
- Maintain courtesy and respect at all times when working with internal and external customers
Requirements
Education
Required:
High School
Licenses & Certifications
Preferred:
C-Heartsaver
CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.