Job Type: Officer of AdministrationBargaining Unit:Regular/Temporary: RegularEnd Date if Temporary:Hours Per Week: 35Standard Work Schedule: 9-5 M-FBuilding: 400 Kelby St, Fort Lee, NJ 07024Salary Range: 70,000-77,500The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

　　Job Type: Officer of AdministrationBargaining Unit:Regular/Temporary: RegularEnd Date if Temporary:Hours Per Week: 35Standard Work Schedule: 9-5 M-FBuilding:Salary Range: 70,000-77,500The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

　　Position Summary

　　The Revenue Cycle Junior Analyst (Reimbursement) is responsible for identifying reimbursement discrepancies inclusive of both under and over payments, resolving root cause and submitting appeals to insurance carriers for correct payment. The analyst will provide analytic support, problem solving and communication with Healthcare payers, clinical departments, contracting office and other management.

　　Responsibilities

　　Operations

　　Reviews paid claims and ensures reimbursement integrity in accordance with contracted reimbursement.Reviews and analyzes "Explanation of Benefits" (EOBs) to identify under-allowed claims.Utilize contract management tools such as Experian to identify payment variances between contracted rates and actual insurance payments.Submit self-disclosure files along with refund checks to insurance carriers for overpayments based on contracted rates.Submit bulk appeals to dispute under-payments based on contracted rates.Compiles and batches appeals by payer, issue, or other pertinent criteria for expedited re-processing of claims.Monitors and tracks contractual, billing, registration, and posting errors, and provides continuous feedback to management team.Prepares monthly performance statistics regarding appeals, recoveries, and refunds. Perform analysis and identify corrective action plans to address root issues.Performs routine follow up such as monitor recoveries to track payment on appeals, communicate with payer liaisons, and escalate as required.Validates claims files to ensure that all data elements and claim submissions are accurate and compliant.Provides feedback to unit Manager to provide claims recovery status and open issues.Participates in meetings to discuss ongoing trends and issues regarding the administration of managed care contracts.Participates in professional development efforts to be current in managed care reimbursement trends.Keeps apprised of rules and regulations affecting reimbursement. Stays current through appropriate journals and personal contacts of such developments in the industry as may increase the effectiveness of operations.Assist on other revenue cycle projects.Strategic

　　Work collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.Develops and maintains a good productive and collaborative relationship with departmental management and representatives.Compliance and Other

　　Performs other revenue cycle tasks as assigned by management as a member of a large central business office.Represents the FPO on committees, task forces and work groups as assigned.Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.Minimum Qualifications

　　Requires bachelor's degree or equivalent in education and experience.Minimum of 3 years' related experience.An equivalent combination of education and/or experience may be considered.Demonstrated proficiency in health insurance billing, collections, and eligibility as it pertains to commercial and managed care, and self-pay reimbursement concepts.Demonstrated strong skills in problem assessment, resolution and collaborative problem solving in complex, interdisciplinary settings.Must demonstrate strong skills managing high volume of data, data sets, and related materials.Excellent analytical skills: attention to detail, critical thinking ability, decision making, and researching skills in order to analyze a question or problem and reach a solution.Demonstrated proficiency in contract management applications.Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.Ability to work independently and follow-through and handle multiple tasks simultaneously.Excellent verbal and written communication skills.Intermediate level proficiency of Microsoft Office (Word & Excel) or similar software is required and an ability and willingness to learn new systems and programs.Must be a motivated individual with a positive and exceptional work ethic.Must successfully complete systems training requirements.Preferred Qualifications

　　Knowledge of Experian contract management software is preferred.Competency Profile

　　Patient Facing Competencies

　　Minimum Proficiency Level

　　Accountability & Self-Management

　　Level 3 - Intermediate

　　Adaptability to Change & Learning Agility

　　Level 3 - Intermediate

　　Communication

　　Level 3 - Intermediate

　　Customer Service & Patient-Centered

　　Level 3 - Intermediate

　　Emotional Intelligence

　　Level 3 - Intermediate

　　Problem Solving & Decision Making

　　Level 3 - Intermediate

　　Productivity & Time Management

　　Level 3 - Intermediate

　　Teamwork & Collaboration

　　Level 3 - Intermediate

　　Quality, Patient & Workplace Safety

　　Level 3 - Intermediate

　　Leadership Competencies

　　Minimum Proficiency Level

　　Business Acumen & Vision Driver

　　Level 1 - Introductory

　　Innovation & Organizational Development

　　Level 1 - Introductory

　　Equal Opportunity Employer / Disability / Veteran

　　Columbia University is committed to the hiring of qualified local residents.

　　Minimum Salary: 31200.00Maximum Salary: 31200.00Salary Unit: Yearly