Revenue Cycle Management Analyst

Trilogy Careers • Skokie, IL

15h • Hybrid

About The Position

The Revenue Cycle Analyst is responsible for analyzing incoming and outgoing insurance revenue (Medicaid, MCO, private, commercial, etc.). He/she is responsible for maximizing reimbursements, resolving claim rejections or denials, and developing effective policies for billing and claim processing. The Revenue Cycle Analyst will identify problems in the revenue cycle, communicate issues accordingly, and develop action plans and timelines for resolution.

Requirements

• Ability to work independently with minimal supervision.
• Exceptional time management skills; ability to meet deadlines and prioritize assignments for optimal efficiency.
• Superior organizational and communication skills
• Advanced computer skills in Microsoft Office applications, and ability to learn new computer systems

Nice To Haves

• College degree preferred
• Minimum two to four years of experience in billing, revenue cycle management, denial management, etc.

Responsibilities

• Identify revenue cycle problems and implement timely solutions for improvement to maximize billing revenue.
• Evaluate and escalate eligibility, authorization, billing, and claims processing inaccuracies to implement upstream solutions
• Ensure that all changes, payments, and adjustments for DHS, Medicare, Medicaid/DPA, MCO, private insurance, and other billing (and re-billing) is recorded, processed, and submitted in a timely and efficient manner.
• Handle all denied claims, manage adjustments, and follow-up to maximize billing revenue in accordance with payor rules.
• Collect and analyze payer data to determine denial and underpayment trends for further review.
• Execute data mining and in-depth accounts receivable analysis.
• Generate and distribute reports as needed.
• Conduct regular billing audits to identify areas of missed revenue and make recommendations based on audit results
• Follow-up with insurance companies to resolve revenue cycle issues.
• Interface with clearinghouses to obtain data for analyzing and streamlining the revenue cycle process.
• Provide training to employees on the revenue cycle process.
• Collaborate with the Accounting department regarding policies and procedures related to collection and processing of client information, filing insurance claims, and posting payments.
• Perform other related duties and/or projects as assigned

Benefits

• FREE Virtual Primary Care, Urgent Care, and Mental Health Counseling for ALL Employees
• PAID Maternity/Paternity leave
• Medical Insurance (BCBS of IL)
• Dental Insurance
• Vision Insurance
• Life Insurance
• Long-Term & Short-Term Disability
• Pet Insurance
• FSA (Health, Dependent Care, Transit)
• Telemedicine
• EAP
• 403(b) Retirement Plan with Employer Match

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree