Financial Analyst
Company: CAMC Health System
Location: Charleston
Posted on: August 3, 2022
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Job Description:
Job SummaryReviews claims and payment data to ensure accurate
billing to and payments from all Commercial, Managed Care and
Governmental Payers to ensure compliance with all payer contracts
and fee schedules. Reviews, researches and documents trends with a
focus on identifying charging and documentation
opportunities.ResponsibilitiesWork closely with Payer Contracting
Department to ensure accurate rates and payment terms are loaded in
company-approved contract management systems used to monitor
billing and payment activityEnsure claims and payment data is
loaded into company-approved claims and payment monitoring systems
and resolve any discrepancies in a timely mannerMonitor to ensure
payments from contracted payers are timely and within contracted
payment termsReview reimbursement and variance reports to identify
trends and discrepanciesPrepare detailed non-payment/underpayment
reports and distributed to appropriate teams for appropriate
resolution and follow up Review denial reports to identify trends
and recommend solutionsUse Company approved charge capture auditing
systems to identify missed charges and work closely with various
departments to resolve issue Attend meetings as required and
participate on committees as requestedEnhance Professional growth
and development through in-service meetings, educational programs,
seminars, conferences, workshops, etc. Perform other duties and
responsibilities as assignedKnowledge, Skills & AbilitiesPatient
Group Knowledge (Only applies to positions with direct patient
contact)The employee must possess/obtain (by the end of the
orientation period) and demonstrate the knowledge and skills
necessary to provide developmentally appropriate assessment,
treatment or care as defined by the department's identified patient
ages. Specifically the employee must be able to demonstrate
competency in: 1) ability to obtain and interpret information in
terms of patient needs; 2) knowledge of growth and development; and
3) understanding of the range of treatment needed by the
patients.Competency StatementMust demonstrate competency through an
initial orientation and ongoing competency validation to
independently perform tasks and additional duties as specified in
the job description and the unit/department specific competency
checklist.Common Duties and Responsibilities (Essential duties
common to all positions)1. Maintain and document all applicable
required education. 2. Demonstrate positive customer service and
co-worker relations. 3. Comply with the company's attendance
policy. 4. Participate in the continuous, quality improvement
activities of the department and institution. 5. Perform work in a
cost effective manner. 6. Perform work in accordance with all
departmental pay practices and scheduling policies, including but
not limited to, overtime, various shift work, and on-call
situations. 7. Perform work in alignment with the overall mission
and strategic plan of the organization. 8. Follow organizational
and departmental policies and procedures, as applicable. 9. Perform
related duties as assigned. Maintain and document all applicable
required education.Demonstrate positive customer service and
co-worker relations.Comply with the company's attendance
policy.Participate in the continuous, quality improvement
activities of the department and institution.Perform work in a cost
effective manner.Perform work in accordance with all departmental
pay practices and scheduling policies, including but not limited
to, overtime, various shift work, and on-call situations.Perform
work in alignment with the overall mission and strategic plan of
the organization.Follow organizational and departmental policies
and procedures, as applicable.Perform related duties as
assigned.Education---Bachelor's DegreeExperience: 2 years related
financial/accounting experience Substitution: 10 years related
experience working in a Patient Accounting related position and 2
years' experience working in an analytical role may substitute for
Bachelor's Degree and 2 years financial/accounting
experienceCredentials ---No Certification, Competency or License
RequiredWork Schedule: DaysStatus:Full Time RegularLocation:
General HospitalLocation of Job: US:WV:Charleston
Keywords: CAMC Health System, Charleston , Financial Analyst, Professions , Charleston, West Virginia
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