Job Description

Addiction Medicine Physician at Intermountain Health summary:

Responsible for cash reconciliation, variance reporting, and managed care contract analysis to optimize revenue cycle processes within a healthcare setting. Leads root cause analysis, process improvements, and serves as a liaison between billing, finance, compliance, and technical teams to mitigate payment variances. Provides mentorship and acts as a subject matter expert while coordinating workflow implementations and special projects.

Job Description:

Reconciliation of unposted and posted cash with the cash management tools and Epic. Along with variance reporting, G/L reconciliation and Third-Party biller support and customer service.

Essential Functions

• Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid or overpaid, and dispositions variance based upon established protocols.
• Identify trends through reporting and data analysis and leverages data to resolve errors in Epic proration rules, payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts.
• Log findings and provides feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership.
• Perform root cause analysis and recommend and develop process improvement.
• Serve as a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors to leverage contract terms and mitigate revenue leakage and denials.
• Help design and implement improvements to established or proposed reimbursement process flows to maximize potential revenue
• Work with Managed Care to ensure knowledge and interpretation of managed care contracts are aligned with original intent of health system contracting efforts.
• Work with Compliance, Finance and Government insurance follow up teams to stay abreast of legislative changes impacting revenue and driving payment variances.
• Initiate contact with technical teams to work through technical builds and enhancements for the Payment Variance team.
• Participate and lead special projects, as assigned. Oversee workflow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Trains and mentors' new associates to the department. Serves as a subject matter expert and resource to answer questions within the department.

Skills

• Billing
• Customer Follow-Ups
• People Management
• Payment Handing
• Management Reporting
• Managed Care
• Taking Initiative
• Reconciliation
• Reading and EOB
• Analytics

Physical Requirements:

Qualifications

• High School Diploma or Equivalent, required-
• Three (3) years of experience in revenue cycle insurance follow up or denial management, required
• Associate's degree, preferred
• - Three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation

Physical Requirements

• Interact with others by effectively communicating, both orally and in writing.
• Operate computers and other office equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for extended periods of time to perform work on a computer, telephone, or other equipment.

May require lifting and transporting objects and office supplies, bending, kneeling, and reaching.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$24.00 - $36.54

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Keywords:

revenue cycle management, billing reconciliation, managed care contracts, payment variance analysis, Epic systems, healthcare finance, root cause analysis, process improvement, denial management, customer service

Job Tags

Hourly pay, Full time, Contract work, Work experience placement, Work at office,

Similar Jobs