Hybrid Senior Medical Reimbursement Analyst

at Center for Health Care Strategies

• Job title: Senior Medical Reimbursement Analyst
• Job type: Full Time
• Experience level: Senior
• Salary: Not specified
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Jacksonville, United States

About the role

• Senior Medical Reimbursement Analyst handling high dollar insurance claims resolution in pediatric healthcare. Researching unpaid claims and ensuring timely resolution to meet collection goals.

Responsibilities

• Work accounts until all charges are paid or denied by the insurance carrier.
• Understand and apply principles of reimbursement to all aspects of the revenue cycle.
• Account for high dollar balances and keep abreast of insurance trends.
• Pursue payment from payors related to both denials and underpayment.
• Accurately enter patient demographics and coverage information into Epic system.
• Apply problem solving skills to resolve discrepancies.
• Work jointly with all departments along the revenue cycle to resolve issues.
• Keep abreast of all insurance and system changes.
• Apply balance adjustments as appropriate and accurately bill the guarantor.

Requirements

• High School Diploma
• 1-3 years of experience

Benefits

• Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year.
• Delivery of care across six states through two freestanding children’s hospitals along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
• Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention.
• Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
• Inclusion and belonging guide our strategy and growth.