Senior Revenue Cycle Analyst

at  Vitra Health

ABOUT US:

Vitra Health is a Home Health Care and Adult Day Health organization that specializes in care management of adults and seniors. We are a rapidly growing company which was started to improve access to quality home health care services. We rate ourselves solely by the quality of care we provide our clients. We realize that our clients are someone’s parent, grandparent, child, friend, or neighbor – we pride ourselves on never taking this fact for granted.
VITRA Health is vital in providing comprehensive assistance to caregivers who care for friends and family in their own homes. We understand that most caregivers face financial and emotional challenges, often without compensation or support for their selfless efforts. By joining us, you can be part of the solution to these challenges. If you have a positive attitude and love helping people, VITRA Health is for you. Our highest priority is our team’s health, happiness, and success.
Senior Revenue Cycle Analyst

JOB DESCRIPTION

Classification: Exempt
Reports to: Revenue Cycle Manager
Department: Finance

EDUCATION, EXPERIENCE AND LICENSURE REQUIREMENTS:

• Bachelor’s degree preferred
• 3-5 years of previous billing experience required
• Previous experience in home health care or other branch of health care preferred
• Understanding of relevant laws and best practices
• Proficient in MS Office, Excel, Waystar knowledge a plus
• Experience implementing new systems preferred
• Familiarity with insurance guidelines for Medicaid’s Adult Foster Care and Adult Day Health programs
• Excellent attention to detail and accuracy in billing processes
• Strong analytical and problem-solving skills, excellent communication skills
• Proficiency in using electronic health record (EHR) systems and billing software

• Submit claims through various insurance payers
• Communicate with all relevant insurance payers to ensure that all claims are processed accordingly
• Follow up regarding denied claims with appropriate insurance payers
• Reconcile claims that have been paid to ensure accuracy
• Resubmit delayed or denied claims as needed
• Resolve any billing related issues as they arise
• Review and manage the eligibility process. Identify opportunities for improvement
• Work with necessary departments to gather data to ensure accurate billing
• Develop and implement billing procedures by analyzing current procedures and recommend changes
• Answer billing related questions by researching and interpreting data
• Maintain appropriate documentation and reporting per regulatory requirements
• Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
• Submit for re-authorization for services to multiple insurance companies
• Demonstrate ability to manage and influence change, work independently
• Willingness to tackle new challenges and new ways of doing business
• Foster culture of customer service and commitment to quality care
• Serve as a brand ambassador for Vitra reflecting our vision, mission, and values
• Show a genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members
• Other duties as assigne