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Senior Medical Reimbursement Analyst
Center for Health Care StrategiesSenior Medical Reimbursement Analyst handling high dollar insurance claims resolution in pediatric healthcare. Researching unpaid claims and ensuring timely resolution to meet collection goals.
About the role
Key responsibilities & impact- 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
What you’ll need- High School Diploma
- 1-3 years of experience
Benefits
Comp & perks- 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.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementinsurance reimbursement principlespatient demographics entrybillingbalance adjustments
Soft Skills
problem solvingcollaborationcommunication
Certifications
High School Diploma