Revenue Cycle Analyst
Location
United States
Posted
168 days ago
Salary
Not specified
High School1 yr expEnglish
Job Description
• Ensure accurate coding, charge capture, and billing practices in compliance with CPT, ICD-10, and HIPAA standards.
• Collect data from clients daily or weekly to generate claims using various software platforms.
• Manage and monitor claims to maximize timely and accurate reimbursement, including claim submissions, denial management and appeals.
• Identify opportunities to enhance revenue capture, minimize revenue errors, and reduce bad debt through analysis of key performance indicators.
• Analyze payer contracts, fee schedules and reimbursement to ensure proper reimbursement on paid claims.
• Track claims pending due to missing or incomplete documentation and ensure timely submission within filing periods.
• Regularly follow up with insurance providers on claims not settled within 30 days and submit appeals as needed.
• Address partial payments and denials, submit and follow up on secondary claims, and resubmit rejected claims via clearinghouse.
• Record clear, concise, and timely notes within the client’s software platform and communicate with clients verbally and in writing.
Job Requirements
- Desired one Year experience in revenue cycle analysis within the healthcare industry, preferably in infusion.
- Minimum of a high school diploma or GED is required.
- Post-Secondary education in a medical discipline highly desired.
- Knowledge of Windows, Word, and Excel is highly desired.
- Excellent telephone and communication skills essential.
- Strong analytical skills and attention to detail
- Familiarity with healthcare IT and revenue management software.
- Ability to work independently and part of a team.
- Not required but desired experience with CPR+, Caretend, Weinfuse, HcN360.
- Knowledge of CPT, ICD-10, and HIPAA compliance.
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