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LogixHealth Healthcare Reimbursement Analyst, Audit & Contracting in Bedford, Massachusetts

Are you interested in joining a team that strives to positively impact the healthcare system?

LogixHealth provides services and technology that result in smarter healthcare. We need the best and most inspired team members and are looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."

If we have piqued your interest and you also possess:

  • A strong attention to detail and active listening skills

  • Proficient computer and Microsoft Excel skills

  • The ability to multitask

    We want to meet YOU!

    Purpose

    Provide support to the Reimbursement Department as requested by the Department Manager; review reimbursements and issues in Carrier Payment Audits.

    Duties and Responsibilities

  • Review all insurance company reimbursements in all practices for all providers

  • Identify issues and appeal if necessary using software or other resource tools

  • Prepare audit results

  • Keep Department Manager current of all findings and audits and advise as necessary

  • Train all follow-up new hires and assist in auditing of new hires work after release from training

  • Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position

    Qualifications

    To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

    Education (Degrees, Certificates, Licenses, Etc.)

    High School Diploma or equivalent combination of education and experience required.

    Computer Skills

    Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

    Experience

    Prior third party medical billing experience preferred or one to two years related experience in a fast paced, high volume, changing environment preferred.

    Specific Job Knowledge, Skill and Ability

  • Ability to maximize use of all software resources for efficiency

  • Ability to maintain current records

  • Ability to maintain bi-monthly audit reports

  • Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals

  • Ability to compute rates, ratios and percentages

  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals

  • Ability to write routine reports and correspondence

  • Ability to communicate effectively verbally and in writing

  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form

  • Ability to deal with problems involving several concrete variables in standardized situations

  • Specific vision abilities required by this job include close vision

  • Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

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