Revenue Cycle Analyst-HYBRID POSITION

A network of intensive outpatient (IOP) addiction treatment centers in Maryland, Pennsylvania, northern Virginia, and Washington, DC, is seeking to hire a Full-time Revenue Cycle Analyst to join its Burtonsville location in a hybrid capacity. The Revenue Cycle Analyst responsibilities will include ensuring that clearinghouse edits, denials, and payment posting are processed and completed in a timely manner. The ideal candidate is a flexible self-starter who is able to multi-task, while remaining focused and organized.

Responsibilities:

  • Post payments and rejections to ensure accurate posting
  • All 835 files must be posted daily along with checks that are received(manual and electronic)
  • Participate in month end processes to reconcile payments on a daily, weekly and monthly bases
  • Research all offsets, unapplied cash and all zero dollar remits must be posted
  • Resolve and process overpayments, credit balances received from insurance co.
  • Review insurance remittance advice for accuracy
  • Coordinate with insurance carriers to reconcile/resolve any issues
  • Must possess in depth knowledge of eob’s ,copays, reason and remark codes, adjustments, write offs, EFT’s, ERA’s and healthcare terminology
  • Complete all clearinghouse edits within 48 hours of receipt of the edit.
  • Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement.
  • Assist with identifying and escalating payer issues in a timely manner.
  • Processes and completes the daily workload of claims assigned, reporting backlogs as identified.
  • Identifies registration errors and reports all trends to management. All work must meet QA and productivity standards to ensure departmental benchmarks are met.
  • Must be able to interpret explanation of benefits and have a clear understanding of payer methodology.
  • Ensure strict compliance with Medicaid, Medicare and all other Federal, State and Local regulatory procedures, certifications and requirements, utilizing efficient and effective procedures and process controls.
  • Collaborates with Management and participates in process and quality improvement initiatives within the department
  • Other duties, as assigned.

Requirements:

  • Minimum 5 years’ experience working in a payment posting and accounts receivable environment for a private, nonprofit or public healthcare organization.
  • Proficient in all Microsoft Office applications as well as medical office software.
  • Proven experience in healthcare billing.
  • Sound knowledge of health insurance providers, especially Medicaid and Medicare.
  • Strong interpersonal and organizational skills.
  • Excellent customer service skills.
  • The ability to work in a fast-paced environment.
  • Strong attention to detail and accuracy in all work products, including solid documentation skills that ensure proper audit trails.
  • Strong oral and writing skills, including internal and external professional letters, transmittals and other sensitive communications; and constructing and presenting professional highly sophisticated internal and external reports.
  • Flexible self-starter who is able to multi-task, while remaining focused and organized.
  • Strong analytical skills, with experience integrating strategic vision into an operational model.

Pay: DOE

Benefits:  Benefit package included.

Schedule:  Full-time; Hybrid position; 2-3 days work from home.

Zip code: 20866

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