Reimbursement Specialist - Healthcare jobs in Greenville, NC

General Description of the Job Class:

Compile, analyze and report on the performance of departmental operating units, noting trends and making recommendations or conclusions regarding progress.

Duties and Responsibilities:

(80%)

• Responsible for monthly internal control testing
• Analyze and provide feedback for departmental specific reports.
• Utilizes account receivable knowledge and resources to ensure accurate and compliant billing and to recognize and resolve inconsistencies.
• Manage appropriate systems for accounts receivable and/or financial reporting and prepare written reports and analyses for leadership documenting trends and appropriate recommendations /conclusions including process improvements and optimization opportunities.
• Audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
• Assist management in forecasting by providing historical information. Work with departmental directors, managers and appropriate personnel to ensure budgetary compliance.
• Trend and report on departmental performance indicators and goals. Ensure departmental goals are satisfied.
• Make recommendations to improve financial systems; perform in house audits of operating units; analyze deficiencies and report to manager/director.
• Assist in developing and defining short and long term departmental specific goals and objectives.
• May be responsible for managing and delegating database inquiries. Creation and development of work assignments including training of employees.
• Maintain professional relationship with internal and external agencies and professional organizations concerning operations.
• May serve as liaison between the physicians and the PRMO.

(20%)

• May conduct employee quality reviews in support of OER (Overall Effectiveness Rating) performance evaluations and provide feedback to management and relevant employees.
• Develop and provide job-specific training to new and existing employees within department.
• Perform other related duties incidental to the work described herein.

Minimum Qualifications

Education

High school diploma or equivalent is required, preferably supplemented by post-secondary courses in Accounting, Finance, Economics, Business Administration or a related field.

Experience

Four years of related experience in healthcare is required. A Bachelor's degree in a related field can substitute for the experience requirement.

Degrees, Licensures, Certifications

N/A