Reimbursement Analyst – NGPG – Mon – Fri 8:00am – 5:00pm

Job Category:

Revenue Cycle

Work Shift/Schedule:

8 Hr Evening – Morning

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

Responsible for the enterprise-wide analytical support for billing and reimbursement-related issues. Position serves as a payer liaison and keeps others in the organization informed about coding and billing policy changes.

• Licensure or other certifications:

  
  

• Educational Requirements: Bachelors Degree in Business Administration, Accounting, Management Information Systems or a related discipline.

• Minimum Experience: Three (3) years experience in Physician Practice Management or Healthcare Reimbursement.

  
  
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  Other:

• Preferred Licensure or other certifications:

• Preferred Educational Requirements:

  
  

• Preferred Experience: Knowledge of reporting analysis and Allscripts.

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  Other:

• Must work independently under the direction of the Reimbursement Manager.

  
  

• Provide research and data analysis to answer questions, find trends, and monitor billing scenarios utilizing reporting and database query tools. Prepare and present reports & analysis relating to billing and reimbursement to clients in the patient accounting and clinical department areas.

  
  
  

• Assist NGPG physicians, employees, and staff with questions relating to reimbursement and billing. Provide education on procedural and diagnostic coding, and improvements in billing procedures in order to maximize reimbursement and minimize payer denials.

• Establish and maintain relationships with carriers. Update program manuals and review payer materials in order to stay current with any policy changes. Educate staff on any policy changes or updated billing procedures.

  
  
  

• Review and keep abreast of changes in diagnostic and procedural coding as well as documentation requirements. Conduct ongoing education for NGPS physicians and staff as needed.

• Serve on committees and task forces. Attend meetings and seminars as needed.

  
  
  

• Perform other duties as assigned.

• Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time

  
  

• Weight Carried: Up to 20 lbs, Occasionally 0-30% of time

• Vision: Moderate, Frequently 31-65% of time

  
  

• Kneeling/Stooping/Bending: Occasionally 0-30%

• Standing/Walking: Occasionally 0-30%

  
  

• Pushing/Pulling: Occasionally 0-30%

• Intensity of Work: Occasionally 0-30%

  
  

• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.