This is a full-time, benefit eligible position located in San Diego. Must be local or willing to relocate to San Diego.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
Responsibilities:
- The Chargemaster Analyst maintains the Scripps Health facility chargemasters within applicable coding guidelines and according to Scripps policies and procedures.
- Provides reimbursement analysis and assists with bill problem resolution.
- Provides coverage guidelines for billable services.
- Monitors and maintains hospital departmental chargemasters to ensure billing accuracy of new and existing service codes.
- Ensures the appropriate bundling or unbundling of charges to maximize reimbursement while following applicable billing reimbursement regulations.
- Reviews Medicare intermediary and other third-party payor bulletins to keep current on billing requirements.
- Assists Patient Financial Services billing personnel in resolving third-party payor billing problems.
- Develops reports to assist with analysis of reimbursement practices of third-party payors.
- Evaluates the reimbursement effect of third-party payor contract proposals as requested by the facility Fiscal Directors or financial analysts.
- Provides analytical support related to reimbursement and billing to facility Fiscal Directors or financial analysts.
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