Reimbursement Analyst I

Job Description:
Olympic Health Management

Reimbursement Analyst I

Summary: Provides support to department and analysts responsible for identifying Medicare allowable reimbursements. Includes supporting various provider categories requiring manual pricing functions on a day to day basis for adjudicating Medicare + Advantage claims.

Duties and Responsibilities:

1. Manually price claims with the appropriate pricer, querying, or utilizing different resource materials as well as reviewing for different edits.
2. Requires a complete understanding of developed pricing models, fee schedules, and coding requirements to pay providers Medicare allowable or equivalents thereof. Requires the ability to research appropriate resources including Federal Registers, Program Memorandums, and Transmittals issued by CMS to respond to various types of claims submitted.
3. Keeping the department informed on a daily basis of information released from CMS or the GPO websites.
4. Update certain pricers on a quarterly basis or once a year.
5. Report on a monthly basis how many Call Trackings are responded to and how long it takes to respond to inquiries.
6. Responsible for tracking, organizing and distributing all pertinent Program Memorandums issued to department personnel and others as requested.

7. Responsible for tracking and updating all necessary Medicare program manual revisions issued.

8. Other related duties as assigned.
Knowledge, Skills and Abilities:
* Extremely detail oriented, meticulous
* Ability to follow both written and verbal instructions
* Strong organizational skills
* Ability to work well under various stressful and time sensitive situations
* Utilize the internet in conjunction with Excel and Access applications to retrieve, compile and utilize various data sources
* Proficient use of semi-complex functions in Microsoft Excel to include but not limited to vector lookups, concatenates, drop down menus, rounding, logic statements utilizing ?IF?, ?AND?, and ?OR? functions, and creating multiple ?IF? statements within one logic sequence.
* Ability to gather bits of information from various parts of a document and put it together to an organized and logical manner to arrive at a solution.
* Excellent verbal and written communication skills to include formal document preparation
Education and Experience:
* High School Diploma or equivalent
* One year related experience
Desired:
* Experience in, or understanding of, health care industry, Medicare and/or provider reimbursements and billing practices.
* Two or more years of college.

Essential Functions:
* Manual dexterity in hands to do extensive keyboarding
* Requires the ability to sit for extended periods of time
* Eyesight required for the ability to view print on a computer screen and/or paper document
* Requires the ability to speak and hear to exchange information with customers by telephone

HOW TO APPLY

1. Apply online by locating ? Click here to apply via the Aon Career Opportunity Portal? at the bottom of this job description.

OR

2. Visit our website: : www.ohmsystems.com and click on the ?CAREERS? link to download an application. Applications and job descriptions are also available at our office location: 2219 Rimland Dr., Bellingham, WA 98226

Olympic Health Management is an Equal Opportunity Employer, committed to a diverse workforce, M/F/D/V. Employment contingent on successful background check.


OVERVIEW: Aon is a global leader in risk management, insurance and reinsurance brokerage, human capital and management consulting, and outsourcing with more than 55,000 employees in 600 offices. We integrate customized services, leverage expertise across industries and apply business knowledge to our clients' strategic goals. Aon helps clients anticipate how change intersects with opportunity. Each of our clients has unique business needs, so we have developed expertise for a complete range of business processes, products and industries. Aon's account and relationship managers form a comprehensive perspective of our clients' organizations, matching our expertise to their business strategy.


BENEFITS: Aon offers: Competitive Compensation, Exceptional Benefits, Continuing Education & Training, A Unique Internal Advancement Program, and Tremendous Potential with A Growing Worldwide Organization. For more information about Aon Corporation, visit our website at www.aon.com Aon is an equal opportunity employer commi