About The Position

The Revenue Cycle Analyst acts as the subject matter expert in payor reimbursements and medical policies, while supporting the revenue cycle functions of the organization. This includes, but is not limited to, preparing and forwarding patient claims to appropriate third-party payors, analyzing and reviewing claims to ensure compliance with payor specific requirements, following up on outstanding claims and performing billing and collections activities that directly influence meeting metric goals (e.g. cash, denial rates and days in AR). The Revenue Cycle Analyst also identifies patterns and trends with payors, as well as internal processes, to recommend and implement process improvements, while ensuring leadership s awareness and alignment. This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, or South Carolina.

Requirements

  • With Associate's required degree, one year of Revenue Cycle experience
  • Without Associate's required degree, three years of Revenue Cycle experience.

Responsibilities

  • Preparing and forwarding patient claims to appropriate third-party payors
  • Analyzing and reviewing claims to ensure compliance with payor specific requirements
  • Following up on outstanding claims
  • Performing billing and collections activities that directly influence meeting metric goals (e.g. cash, denial rates and days in AR)
  • Identifying patterns and trends with payors, as well as internal processes
  • Recommending and implementing process improvements
  • Ensuring leadership s awareness and alignment

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

Associate degree

Number of Employees

5,001-10,000 employees

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