BILLING COMPL ANALYST - HRLY, FCH - PATIENT FINANCIAL SERVICES

Froedtert•Menomonee Falls, WI

37d•$23 - $33•Remote

About The Position

The Billing Compliance Analyst is responsible for revenue cycle billing compliance for governmental payers and works with revenue-producing departments on billing compliance and regulatory updates. The role serves as the central point of contact for government payor claim recovery activities for the hospitals. It monitors and tracks outcomes involving Recovery Audit Contractor (RAC) requests and other government payor audits, coordinates timely and accurate release of information, and follows up with departments regarding appeals and associated deadlines. The analyst communicates with participants in government payor audits and maintains the integrity of monitoring tools. Other duties may be assigned. This is a remote, hourly position at 0.5 FTE, with 20 standard hours per week. The listed schedule is Shift 1, 8 a.m.–4 p.m. The role does not require weekends or holidays.

Requirements

At least 3 years of experience working within hospital or physician group revenue cycle, with a focus on Medicare and Medicaid billing compliance.
Knowledge of Medicare, Medicaid, and other government regulator agency guidelines.
High school diploma or equivalent.

Nice To Haves

Associate or bachelor's degree in Business, Health Care Administration, Information Systems, or a related field.

Responsibilities

Support revenue cycle billing compliance for governmental payers.
Work with revenue-producing departments regarding billing compliance and regulatory updates.
Serve as the central point person for government payor claim recovery activities for the hospitals.
Monitor and track outcomes involving Recovery Audit Contractor (RAC) requests and other government payor audits.
Coordinate timely and accurate release of information.
Follow up with departments regarding appeals and associated deadlines.
Communicate with those involved in government payor audits.
Maintain the integrity of monitoring tools.
Perform other duties as assigned.