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Health Care Reimbursement Analyst II-Labs/Patholog

at University of Illinois at Chicago in Chicago, Illinois, United States

Job Description

Health Care Reimbursement Analyst II-Labs/Pathology Services
Hiring Unit: Health Care Reimbursement Analyst II-Labs/Pathology Services
Hiring Department: Labs/Pathology Services
Location: Chicago, IL
Requisition ID: 1015574
Work Schedule: Days: Monday-Friday (37.5 work week)
Posting Close Date: 6/15/2023
Position Number: CE3813
About the University of Illinois Hospital & Health Sciences System (UI Health)
The University of Illinois Hospital & Health Sciences
System (UI Health) provides comprehensive care, education, and research to the
people of Illinois and beyond. A part of the University of Illinois at Chicago
(UIC), UI Health comprises a clinical enterprise that includes a 495-bed
tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center
facilities, which are Federally Qualified Health Centers. It also includes the
seven UIC health science colleges: the College of Applied Health Sciences; the
College of Dentistry; the School of Public Health; the Jane Addams College of
Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional
campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health
is dedicated to the pursuit of health equity.
This is a full-time and benefits eligible position. UIC offers competitive salaries commensurate with experience. In addition, all full-time benefits eligible positions include a comprehensive benefits package which include Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes Vacation, Holiday and Sick. In addition, we offer tuition waivers for employees and dependents. Click for a complete list of
Description:

Provides expertise on Medicare and Medicaid government regulations to complete statistical and financial modeling and producing cost reports to ensure all possible reimbursement enhancements or opportunities are captured. Assists in the design and development of strategic initiatives through data gathering, data analysis, and performance improvement planning. Assists in gathering data for analysis and reports for both intradepartmental and interdepartmental needs. Works with finance to maximize reimbursement from third party payors.

Duties & Responsibilities
Uses knowledge of Medicare and Medicaid government regulations to complete statistical and financial modeling and producing cost reports to ensure all possible reimbursement enhancements. or opportunities are captured for the Pathology technical and professional billing for Inpatients, Outpatients, and Outreach Clients.
Completes an analysis of new developments and/or proposals in the reimbursement field to determine the financial impact on the healthcare facility.
Analyzes and advises facility administration via impact analysis of new regulatory changes and how they will affect the funding of the Pathology/Laboratory Medicine services and reimbursement.
Gathers data and completes required analysis at the request of outside audit staff during audits by Medicare, Medicare, and Blue Cross and reports the impact of audit adjustments to management.
Assists management in the analysis and development of third-party contractual allowances using financial and statistical modeling.
Assists in determining the cost-analysis of new patient testing, comparing both performance of testing inhouse and as a reference test.
Assists in reducing Epic Work queues and developing algorithms or rules to eliminate the confounding barriers to charges.
Assists management in the analysis and development of bad debt projections using financial modeling for budget forecasting.
Assists in Charge Description Master (CDM) requests for new/revised patient testing.
Assists more senior staff members in the review of existing operating procedures and makes recommendations for the development of settlement data to maximize reimbursement from third party payors.
Recommends improvements and modifications to departmental operating procedures to maximize operation efficiency and reimbursement.
Completes review and analysis of prior years' outstanding cost reports to resolve outstanding issues in conformance with regulations and within the time frame imposed by the federal government's statute of limitations.
Reviews current and prior years' data and other necessary variance explanation in coordinating... For full info follow application link.

The University of Illinois may conduct background checks on all job candidates upon acceptance of a contingent offer.   Background checks will be performed in compliance with the Fair Credit Reporting Act.

The University of Illinois at Chicago is an affirmative action, equal opportunity 
institution/employer and does not discriminate on the basis of race, color, national origin, sex, religion, age, sexual orientation, gender identity, veteran or disability status, height, weight, or marital status in employment or the provision of services.

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Job Posting: 10981136

Posted On: Jun 02, 2023

Updated On: Jun 15, 2023

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