Job Description

Reimbursement Analyst

05/27/25 to 11/22/25

26 Weeks

40 Hours/week

8H Day (07:30 AM - 04:00 PM)

Description:

8-4:30pm Monday-Friday with Tuesday and Wednesday in the office at Woburn (600 Unicorn Park Drive Woburn MA.

Job Summary :

• This position supports the transfer and reconciliation of cash across 2 Tax IDs, 27 Group NPIs, 9 billing vendors, 2 main operating bank accounts including 27 subaccounts and 25 lockboxes. This role will also work in collaboration with HMFP's Program Director of Reimbursement.
• The Reimbursement Analyst is also responsible for researching, identifying and remediating the root cause of the misdirected payments. Including but not limited to, completion of EFT and ERA payment (re)enrollment.

Primary Responsibilities :

• Responsible for the verification of banking information on all paper checks sent to the wrong addresses. (essential)
• Manage erroneous payments received by HMFP/APHMFP billing vendors and assist with reallocation and moving of money/funds to the appropriate subaccount by researching and reviewing individual payments. (essential)
• Trend and escalate any/all payment issues to help resolve/rectify at the source. Interact directly with the various Billing Vendors, BIDCO and Payers (if needed) to resolve potential errors and technical issues that can impact Departments, Finance and Accounting. (essential).
• Assist in completion of EFT and ERA payment enrollment for new or existing business as needed. (essential).
• Organizing all manual payments, depositing to the appropriate TIN and allocated funds to the applicable department using the Transfer Spreadsheet. (essential).
• Create, own and maintain procedural documentation for all enrollment and transfer workflows. Serves as a liaison between HMFP, Billing and ROI vendors and utilizes BPI to pull billing statements/documentation for MRO in a timely fashion. (essential).
• Responsible for maintaining Payspan accounts for new and existing business. (essential) Update and map transcode, payer and denial data elements for various DataStreams within the Control Board. (essential)
• Manipulate and submit financial assistance and hardship spreadsheets to Billing Vendors provided by client and our affiliates. Maintain good working relationship with each Billing Vendor; develop knowledge of, and history with, their clients' accounts. (essential).
• Perform payment application related additional tasks as requested by Manager. Works closely with Accounting Department to resolve any discrepancies in the daily cash. Performs all other duties and special projects as assigned by the management team. (essential).

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