Revenue Cycle Analyst Jobs

About The Position

Requirements

• Two years of experience with patient accounts, patient access, billing/collections, or a related area.
• One year of experience in a health care setting.
• Knowledge of benefits, covered services, and billing procedures for government and non-government insurance programs.
• Ability to determine primary, secondary, and third-party responsibility among insurance companies.
• Familiarity with regulations governing collection proceedings.
• Knowledge of ICD-9 and CPT-4 codes and basic medical terminology.

Nice To Haves

• High school diploma or equivalent.

Responsibilities

• Monitor accounts in assigned representative work lists using delinquency reports, team trend reports, monthly aging reports, and special reports.
• Review accounts after payment to confirm the patient balance is correct and apply necessary adjustments before billing the patient or secondary carrier.
• Review credit balances, reverse contractual adjustments when appropriate, and bill the patient within five days of the remit trigger date.
• Accurately update statement status, plan information, financial class, and standard messages, and clearly document what the patient balance consists of.
• Contribute to cash collection goals through timely follow-up activity.
• Begin direct follow-up on unpaid accounts within the time frames specified in the Guidelines for Account Analysts' Work Lists.
• Complete assigned special projects through assigned ATBs and maintain productivity standards within departmental guidelines.