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.
ROLE AND RESPONSIBILITIES
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