Revenue Cycle Analyst, Full Time
About The Position
Aggressively review and address billing and collections issues which directly impact the hospital’s Accounts Receivables. Conducts internal reviews of medical documentation supporting claims billed. Evaluate the appropriateness of the level of service, procedures and diagnosis codes billed based on the supporting documentation in accordance with coding guidelines. Assist, develop and implement appropriate third-party payer billing and collection follow-up procedures to ensure maximum reimbursement in timely manner. Recognizes and identifies payer denial trends, also makes recommendations to upper management pertaining to possible process changes. Analyze Aged Trial Balance by payer, perform follow up, and help manage A/R at assigned dunning levels. Work independently without close supervision and exercises independent judgment and discretion.
Requirements
- Minimum 5 years of related work experience.
- Good communication skills
- Proficiency in the use of a calculator, personal computers and business software (e.g., Word, Outlook, Excel, etc.)
- Good working knowledge of Medicare, Medicaid, welfare agencies, insurances, etc. required.
- Excellent problem solving skills
- Must possess full range of body motion to pass basic FIT test for position to include walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time.
- Must be able to lift and carry up to 30 pounds.
Responsibilities
- Review and address billing and collections issues
- Conduct internal reviews of medical documentation supporting claims billed
- Evaluate the appropriateness of the level of service, procedures and diagnosis codes billed
- Assist, develop and implement appropriate third-party payer billing and collection follow-up procedures
- Recognizes and identifies payer denial trends
- Analyze Aged Trial Balance by payer, perform follow up, and help manage A/R at assigned dunning levels
- Work independently without close supervision
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
