RCM Analyst 1

Public Partnerships | PPL

5d•$50,000 - $55,000

About The Position

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com). Job Summary: Responsible for supporting billing, accounts receivable, and revenue cycle operations by ensuring accurate invoice processing, payment reconciliation, and system alignment. This role partners cross-functionally with internal teams and clients to maintain data integrity, support Medicaid claiming processes, and contribute to system and process improvements across billing and reporting functions.

Requirements

Outstanding PC spreadsheet skills required.
Detailed and process improvement oriented.
Accounting system experience preferred.
Ability to read and understand technical specifications.
Ability to work independently and with a team.
Bachelor’s degree preferred or equivalent and relevant professional experience in finance/corporate finance.
1+ years’ experience in finance/corporate finance, Project Management experience preferred

Responsibilities

Prepares and manages weekly billing activities and invoice submissions.
Prepares and re-submits corrected claims or invoices as needed.
Performs minimal business to business collection activity as needed to maintain low and current receivable balances.
Verifies and maintains accurate receivable balances across multiple information systems.
Reconciles payments and perform denial research using database queries and spreadsheet analysis.
Designs, develops, and prepares accurate reports for internal and external clients.
Interacts with clients and staff to obtain project knowledge and achieve overall goals.
Collaborates with IT department for refining existing billing processes and management reports.
Documents policy and procedures relating to accounts receivable collection efforts and billing processes.
Establishes improved systems functionality to ensure claims are properly reconciled to the payroll accounting system.
Supports in design, testing and production of Medicaid claiming for new projects as required.
Provides consultation to billing system design requirements for new projects.
Keeps up to date on state business rules for claiming to systems design requirements.
Defines scope of system changes and enhancements for an IT development audience.
Tests system functionality prior to release of changes to production environment.