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Reimbursement Analyst

Highmark Health · US

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs third-party reimbursement services, serves as a technical resource on reimbur...

Job description

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Performs third-party reimbursement services, serves as a technical resource on reimbursement issues verifying third party payments. Assists in preparation of the cost reports and monthly financial closing duties. Assists with review of cost reports and budgets. Assists with oversight of Medicare and Medicaid field audits including analysis of audit adjustments and their financial impact. Assists with process improvements and special projects, working closely with the manager and senior staff. QUALIFICATIONS: Minimum - Assists in preparation, evaluation, and maintenance of processes in support of regulatory and third party updates including quarterly work papers, annual audits, cost accounting, and third party cost reporting. (60%) - Stays abreast of issues impacting the healthcare industry, especially those that have a financial impact to WPAHS (including the ability to read and evaluate government regulations) and communicates those issues to team and management. (15%) - Records, classifies, and summarizes financial transactions and events in accordance with generally accepted accounting principles. Interprets fi...