LifePoint Hospitals-posted 3 months ago
Full-time • Mid Level
Missoula, MT
5,001-10,000 employees
Hospitals

At Community Medical Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. A Revenue Cycle Analyst reconciles and posts all payments received, identifies discrepancies and analyzes issues to ensure payments are posted timely. Manages Athena claims worklists as assigned.

  • Responsible for reviewing and maintaining charge description master (CDM), and/other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor requirements.
  • Analyzes financial and utilization data to provide decision-making information relating to specific revenue cycle metrics and reimbursement.
  • Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate to minimize misbilling's.
  • Resolves issues that arise from information submitted and revenue cycle issues.
  • Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.
  • Works closely with the lab to ensure all necessary late charges are applied to the accurate account.
  • Perform other duties as assigned.
  • Associate's degree or related work experience
  • Minimum Work Experience At least 5 years of in Finance or Billing required
  • Basic computer skills
  • Knowledge of CPT and HCPC codes
  • Medical terminology
  • Critical thinking skills
  • Ability to work with minimal supervision
  • Must be able to learn unfamiliar concepts quickly
  • Must have in-depth knowledge of the billing procedures
  • Ability to learn the procedures of the charge master maintenance
  • Comprehensive medical, dental, and vision plans, plus flexible-spending and health-savings accounts
  • Competitive paid time off and extended illness bank package for full-time employees
  • Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
  • Tuition reimbursement, loan assistance, and 401(k) matching
  • Employee assistance program including mental, physical, and financial wellness
  • Professional development and growth opportunities
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