Reimbursement Analyst

Your job is more than a job.

Why a Great Place to Work:

You're more than your job. Everyone is.

And that's what makes you great at your job-all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we've built a culture that supports and celebrates the extraordinary.

You'll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you'll find that our everyday makes it easy to live your extraordinary.

GENERAL DUTIES

Processes accounts receivable reports and checks for potential issues. Settles accounts receivable requests and billing issues.

Prepares financial/reimbursement reconciliation. Develops techniques for effective analysis of billing and collections efforts.

Responsible for working with medical schools regarding required GME time studies and providing analysis to required teams or employees. Collects, analyzes, and reviews the time study data and provides financial reconciliation.

Maintains physician time studies to ensures that the hospitals' direct/indirect medical education reimbursement is maximized. Assists physicians in determining the appropriate use of codes for maximizing reimbursement of services.

Assists the leaders and team members with annual cost report preparation. Assists as needed with DSH/additional reporting and analysis requirements. Along with the leaders and team members, ensures filing of all the cost reports, GME/other reimbursement applications, DSH/other reports, and any other regulatory requirements.

Assists the leaders and team members with the completion of audit schedules for revenue, revenue deductions, patient accounts receivable, and settlement receivables requested by the audit firm to ensure accuracy and timely completion. Serves as a resource to the members of the team and assists with special projects as needed.

Assists in resolving third-party denials received as well as reimbursement appeals and problems. Provides in-service training programs for departmental billing personnel and clinical faculty.

EDUCATION/EXPERIENCE QUALIFICATIONS

A combination of appropriate education and work experience is required:

Bachelor's Degree with 2 years of experience in healthcare accounting, or Medicare/Medicaid cost reporting preparation

OR

Master's Degree with 1 year of relevant experience

KNOWLEDGE, SKILLS, AND ABILITIES

• Proficient computer skills with knowledge of Excel, Word, graphics, etc.

• Good verbal and written skills. Maintains a working knowledge of the data processing system as it relates to the Accounting and Patient Accounting Departments.

• Demonstrates analytical and interpretative skills in analyzing Time Study data.

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

WORK SHIFT:

Variable Hours (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary

Children's Hospital, at the heart of LCMC Health's incredible community of care, has been the go-to hospital for expert children's health, wellness, and one-of-a-kind care in Louisiana and the Gulf Coast. Learn more about Children's Hospital's 40+ specialties and our national ranking by U.S. News & World Report as a Best Children's Hospital

Your extras

• Deliver healthcare with heart.

• Give people a reason to smile.

• Put a little love in your work.

• Be honest and real, but with compassion.

• Bring some lagniappe into everything you do.

• Forget one-size-fits-all, think one-of-a-kind care.

• See opportunities, not problems - it's all about perspective.

• Cheerlead ideas, differences, and each other.

• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

1.To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

2.To ensure quality care and service, we may use information on your application to verify your previous employment and background.

3.To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

4.To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.