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
  • Interact with clients
  • Perform other duties as assigned

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • 1+ years experience in healthcare revenue cycle required
  • Working knowledge of revenue cycle terminology and abbreviations
  • Adapt to change, quickly problem solve and escalate issues as appropriate
  • 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

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

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