Senior Reimbursement Analyst

Closing Date:

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department's Website:

Minimum Qualifications:

• Bachelor's degree in Computer Science, Accounting, Information Services plus 5 years of accounting experience including health reimbursement specifically related to Medicare/Medicaid Reimbursement or high school diploma or equivalent plus 9 years of experience providing consultation, reporting, analysis, and/or dashboard development for revenue focused departments/service lines in a Healthcare provider setting or an equivalent combination of education, skills, and experience.
• Proficient computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and internet.
• Experience and proven success in practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
• Proficiencies - Advanced knowledge of revenue cycle processes and hospital/professional billing to include CDM, UB04, Remittance Advices and 1500 claim form. Advanced knowledge of code data sets to include CPT, HCPCS, and ICD 10. Advanced knowledge of NCCI edits, and Medicare LCD/NCDs. Comprehensive understanding of reimbursement methodologies to include DRG, OPPS, professional and facility billing. Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal reimbursement rules, and regulations.
• Abilities: Due to its service focus, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, critical thinking and the ability to meet deadlines while influencing, but not directly managing the work of others.

Preferred Qualifications:

• 12+ years of experience providing consultation, reporting, analysis, and/or dashboard development for revenue focused departments/service lines in a Healthcare provider setting or an equivalent combination of education, skills, and experience.
• One of the following: CPA, Coding Credential, Audit Credential
• Understanding of CPT/HCPCS codes, payer regulations and payer reimbursement.
• Data Visualization experience utilizing Power BI
• Working knowledge of Epic HB Resolute and PB Resolute.
• Working knowledge of Epic Slicer Dicer.

Additional Information:

Responsibilities:

• Provide sound, high level, financial contract language analysis to support the real-time decision-making needs of revenue cycle, and service line leadership.
• Participate in ensuring that all claims processing and valuation systems are properly configured, maintained, and monitored constantly to ensure a high degree of compliance and accuracy with reimbursement terms and policies outlined in payer agreements. (for example, claim edits, charge router rules)
• Utilizing strong subject matter expertise, translate UAMS Health's payer contracts, policies, federal and state reimbursement rules, and regulations into business/clinical requirements for the revenue cycle.
• Translate payor contract reimbursement policies for validation of reimbursement accuracy.
• Identify and prevent underpayments and help to implement processes and workflows that streamline and simplify claim reimbursement workflow processes.
• Work with Centralized Hospital and Professional Billing leadership to ensure that claims processing and valuation edits are properly configured to ensure a high degree of compliance and accuracy with changing reimbursement terms, regulations and policies outlined in UAMS Health payor agreements.
• Assist in analysis of existing service lines, claims, denials, and charge master as requested. Write effective summary level documentation for clear and concise communication of data analyzed.
• Work closely with the CDM Team to ensure optimal reimbursement.
• Evaluate new and emerging payment models, policies, and requirements.
• Maintain up-to-date knowledge of healthcare government and non-government billing and coding requirements and regulations.
• Provide new and emerging information with Revenue Cycle and Clinical Leaders.
• Perform other duties as assigned.

Salary Information:

Required Documents to Apply:

Please contact askrecruitment@uams.edufor any recruiting relatedquestions.

All application materials must be uploaded to the University of Arkansas System Career Sitehttps://uasys.wd5.myworkdayjobs.com/UASYS

Please do not send to listed recruitment contact.

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.