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Revenue Cycle Analyst, Full Time at Iredell Memorial Hospital Incorporated

Statesville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Apr, 26

Salary

0.0

Posted On

28 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing, Collections, Medical Documentation, Claims Evaluation, Coding Guidelines, Third-Party Payer Procedures, Payer Denial Trends, Aged Trial Balance Analysis, Accounts Receivable Management, Independent Judgment, Communication Skills, Problem Solving, Medicare Knowledge, Medicaid Knowledge, Business Software Proficiency, Physical Fitness

Industry

Hospitals and Health Care

Description

Description Aggressively review and address billing and collections issues which directly impact the hospital’s Accounts Receivables. Conducts internal reviews of medical documentation supporting claims billed. Evaluate the appropriateness of the level of service, procedures and diagnosis codes billed based on the supporting documentation in accordance with coding guidelines. Assist, develop and implement appropriate third-party payer billing and collection follow-up procedures to ensure maximum reimbursement in timely manner. Recognizes and identifies payer denial trends, also makes recommendations to upper management pertaining to possible process changes. Analyze Aged Trial Balance by payer, perform follow up, and help manage A/R at assigned dunning levels. Work independently without close supervision and exercises independent judgment and discretion. Shift: M-F, 8:30 AM - 5:00 PM Requirements Minimum 5 years of related work experience. Good communication skills Proficiency in the use of a calculator, personal computers and business software (e.g., Word, Outlook, Excel, etc.) Good working knowledge of Medicare, Medicaid, welfare agencies, insurances, etc. required. Excellent problem solving skills Must possess full range of body motion to pass basic FIT test for position to include walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time. Must be able to lift and carry up to 30 pounds.

Responsibilities

The Revenue Cycle Analyst will review and address billing and collections issues impacting the hospital's Accounts Receivables. They will conduct internal reviews of medical documentation and assist in developing billing and collection follow-up procedures.