REIMBURSEMENT ANALYST I

Location
Durham, NC
Posted
Jun 28, 2017
Institution Type
Four-Year Institution

diversity employer



REIMBURSEMENT ANALYST I
Anesthesiology-Bus & Sup Svcs

Occupational Summary

Participate in a variety of activities to enhance billing and collection efforts related to third party reimbursements of professional charges.

Work Performed

Monitor professional billing system by Division; maintain systems to charge capture all inpatient and outpatient charges, including consults.

Assist with departmental audits of coding and billing and provide feedback to Revenue Manager.

Assist with reimbursement and denial analysis, and regulatory compliance monitoring.

Identify and alert of any areas of concern.Identify and define appropriate CPT codes for existing and new services and assist with new initiatives if requested.

Assist with on-going in-service training for faculty on proper coding guidelines, insurance regulations, medical records and physician documentation and signature requirements.

Periodic review of billing to provide additional feedback to the Revenue Manager and faculty.

Consult with and advise physicians regarding billing problems and initiate plans for solving such problems.

Serve as an additional departmental resource for our providers and help field inquiries.

Analysis of third party denials with the Billing and Collection Department and Revenue Manager to help identify trends or issues.

Review patient care account receivables and work with Revenue Manager and Patient Services to reduce outstanding debts and troubled accounts.

Perform other related duties incidental to the work described herein.

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

Requisition Number
401283754

Location
Durham

Duke Entity
MEDICAL CENTER

Job Code
1883 REIMBURSEMENT ANALYST I

Job Family Level
10

Exempt/Non-Exempt
Exempt

Full Time / Part Time
PART TIME

Regular / Temporary
Regular

Shift
First/Day

Minimum Qualifications
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, genetic information, gender, gender expression, gender identity, national origin, race, religion,sexual orientation, or veteran status.Essential Physical Job Functions:Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Education

Work requires knowledge of accounting or business principles and practices generally obtained through completion of a bachelor's degree program in an accounting or business related field.

Experience

Work requires three years related business or administrative experience to acquire competence in applying general accounting principles, knowledge of insurance billing and collection procedures,including CPT and ICD-9 coding.OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Auto req ID

91424BR

Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, genetic information, gender, gender expression, gender identity, national origin, race, religion, sexual orientation, or veteran status.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

PI98427650