Revenue Cycle Analyst

ROLE AND RESPONSIBILITIES

The Revenue Cycle Analyst supports multiple clients with a team of Analysts located in the centralized office. The candidate must have proven productivity track record, great attitude, thrive in a fast-paced environment, be quality oriented, and possess the ability to adapt to a variety of technologies and client needs.

CORE FUNCTIONS

  • Post patient and carrier payments in Revenue Cycle Management system (RCM)

  • Review payment postings for accuracy and to ensure account balances are current

  • Insurance verification

  • Review patient statements for accuracy

  • Review and submit patient claims

  • Review reports, identify denied claims, research and resolve issues, may perform a detailed reconciliation of accounts, resubmit claim to payer

  • Work with Revenue Cycle team to resolve payment and billing errors

  • Answer patients’ payment, billing, and insurance questions and resolves complaints

  • Contact payers to resolve payer issues, expedite claim processing and maximize medical claim reimbursement

  • Submit appeals with appropriate/requested documentation to payers

  • Maintain credit balances of patients and payers ensuring timely refunds within government guidelines/regulations

  • Maintain a daily productivity log showing number of accounts worked and submits the log as requested

  • Perform other duties as assigned

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • 1+ years experience in healthcare industry required

  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions

  • Highly detail oriented, with strong organizational skills

  • Excellent communication and interpersonal skills with a focus on customer service

  • Investigate problems and develop/communicate solutions

  • Act and operate independently, with minimal supervision

  • Meet assigned deadlines

  • Bachelor’s Degree preferred

ADDITIONAL SKILLS PREFERRED

  • Experience with eCW platform

  • Knowlege of Medicare and Commercial payers and guidelines governing collection activities

  • Strong Excel skills


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