The Adminstrative Analyst (insurance follow up specialist) follows up with insurance carriers on unpaid claims and denials to get claims correctly processed and in a timely manner. The Administrative Analsyt ensures filing deadlines are met and maximizes income. The position is responsible for working assigned workqueues while following related policies and procedures.
UAMS offers amazing benefits and perks:
Salary: $29,251 annually ($14.06) hourly
Conducts research to analyze and resolve denied invoices and exceptions.
Contacts carriers, uses EOBs to research payments and denials, as well as EMRs to review coding, audit accounts and internal files and records, and review billing procedures and technical guides to determine errors and opportunities for correction.
Use carrier electronic applications for status, appeal and billing functions.
Applications used may include One Content, AHIN, VSI, Correct Coding Initiative software, MMIS, other web-based and insurance applications and all Microsoft Office products.
Position requires strong understanding of the entire revenue cycle from registration through claim resolution.
Determines financial responsibilities for billing and resolves problems.
Contribute to reports of findings and recommendations, timeframes for changes or updates, and recommends operational changes and procedure updates for departments and training.
Communicates with clinical department personnel via web-based application to request information needed to resolve charge denials.
Attends meetings to present information on problems, changes, updates or issues of concern as needed.
May work other follow-up work queues when staffing requires it.
May work directly with the Revenue Manager team and IT, reporting opportunities to prevent future denials, propose claims manager edits and correcting and improving procedures based upon trends or problems identified and upon the unique procedures associated with various carriers.
Interacts as a team member with all MCPG/CUMG units, reviews and researches claims and may participate in developing procedures and training modules.
Update operating policies and procedures as needed based upon changes in reimbursements and regulations and perform related responsibilities as needed or requested.
Works with the PBO training by ensuring new policy and procedure information is provided for distribution within the internal notice system.
May serve as a resource to junior staff and may participate in training and/or cross-training other personnel and performs related duties as needed.
Bachelor’s degree OR High School diploma/GED plus 4 years of experience in medical account review and analyzing insurance claims required.
UAMS is an inclusive Affirmative Action and Equal Opportunity Employer of individuals with disabilities and protected veterans and is committed to excellence.