Revenue Cycle Analyst

ROLE AND RESPONSIBILITIES
Supports multiple clients with a team of Revenue Cycle Analysts located in a centralized office.

CORE FUNCTIONS

  • Posting patient and carrier payments in Revenue Cycle Management system (RCM)
  • Reviews payment postings for accuracy and to ensure account balances are current
  • Insurance verification
  • Review patient statements for accuracy
  • Reviewing and submitting patient claims
  • Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer
  • Works with Revenue Cycle team to resolve payment and billing errors
  • Answers patients’ payment, billing, and insurance questions and resolves complaints
  • Contacts payers to resolve payer issues, expedite claim processing and maximize medical claim reimbursement
  • Submits appeals with appropriate/requested documentation to payers
  • Maintains credit balances of patients and payers ensuring timely refunds within government guidelines/regulations
  • Interact with client
  • Perform other duties as assigned

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • Minimum of 1 year experience in the healthcare industry REQUIRED
  • Highly detail oriented, with strong organizational skills
  • Strong financial analysis skills, analytical mindset, intellectual curiosity
  • Ability to investigate problems and develop/communicate solutions
  • Ability to meet assigned deadlines
  • Excellent communication and interpersonal skills with a focus on customer service
  • Ability to act and operate independently, with minimal supervision
  • Bachelor’s Degree preferred

ADDITIONAL SKILLS PREFERRED

  • Computer literate and proficient in Microsoft Office
  • Experience with eCW platform
  • Strong Excel skills
  • Medical terminology

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