200+ applicants
Tegria · 3 days ago
Revenue Cycle Analyst
United States
Full-time
Remote
Mid Level
$61K/yr - $74K/yr
2+ years exp
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Responsibilities
Provide revenue cycle assessment, systemic issue identification, and system/process solutions.
Assess customer’s revenue cycle integrity and workflow processes to enhance efficiency and achieve revenue objectives.
Research systemic billing and reimbursement issues, develop approaches to resolve them, and create non-standard reports.
Assist in processing and troubleshooting claims, ensuring correct diagnosis/procedures are reported.
Collaborate with Revenue Cycle departments to communicate findings and implement revenue cycle improvements.
Analyze billing data, perform trend analysis, and develop non-standard reports.
Create training documentation, provide software and process training, and keep updated on billing changes for third-party insurance carriers.
Prepare customer status reports, act as Lead in claims processing, and perform special projects as assigned.
Consult with senior team members, contribute to team objectives, and develop proficiency within the discipline.
Qualification
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Required
Bachelor’s degree in Health Information Management, Accounting, Math, Business or related fields; or equivalent combination of education and experience
2+ years revenue cycle analysis or related experience
Able to work successfully with general direction and latitude for independent judgment
Experience mentoring less experienced team members
Solid knowledge of third-party billing requirements and HIPAA 837/835 electronic language
Good working knowledge of medical terminology, billing guidelines, HIPAA and compliance
Advanced skills in Microsoft Office and proficient with computer-based accounts receivable applications
Able to perform complex mathematical calculations for adjudication of accounts and applying complex contractual arrangements as determined by contracts negotiated within the customer contract
Strong collaboration and problem-solving skills
Able to analyze billing data and perform trending analysis to improve billing utilizing advanced Excel and Power Point for presentation
Possess effective time management skills to permit handling a large workload
Excellent time management, organizational skills and prioritizing skills to permit handling the workload
Able to work successfully with limited supervision and with latitude for independent judgment
Demonstrated ability to assist and mentor less experienced team members
Able to work with team members, customers, providers and medical facility staff tactfully and effectively
Exceptional verbal and written communication skills
Strong attention to detail
Strong commitment to ethical behavior and complying with laws and regulations involved in the job
Comfortable and accountable working in a remote work environment in which video conference calls and virtual shared workspaces and tools are common
Able to communicate tactfully and firmly with patients, providers, medical records staff and third-party insurers
Must have a private, secure workspace available at home and access to internet with speed sufficient to perform the job
W2 project-based consultants will be expected to provide a computing device that adheres to industry standards and security best practices to use in satisfying the Project Services on behalf of Tegria
Preferred
Graduation from an accredited college/university with a degree/certificate in bookkeeping, Health Information management, Accounting, Math, Business or related fields; or 5 years equivalent experience
Courses in insurance billing, data processing and medical terminology preferred
Benefits
Health and dental plans
Vision benefits
Total wellness program
Employee assistance program
Retirement savings plans
Company-paid disability and life insurance
Pre-tax savings opportunities (HSA and/or FSA)
Professional development offerings
Opportunities for remote work
Generous paid-time-off program
Company
Tegria
Tegria is a virtual care platform that provides next-generation tech, and services to the healthcare sector. It is a sub-organization of Providence St. Joseph Health.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Brian Horley
Vice President of Sales
Brian Halbert
Executive Director, Talent Acquisition
Recent News
2024-04-10
2024-02-18
2023-12-24
Company data provided by crunchbase
