Revenue Cycle Analyst

AnalystAnalystFull TimeRemoteTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

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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