Tegria · 13 hours ago
Revenue Cycle Systems Analyst-MEDITECH
United States
Full-time
Remote
Entry, Mid Level
$61K/yr - $74K/yr
2+ years exp
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Responsibilities
Living our Tegria values: Respect Every Person, Act with Integrity, Strive for Better, Embrace Change, Deliver as a Team
Participating in customer revenue cycle assessments, identifying issues or opportunities for improvement, and designing solutions
Researching root causes of designated initiatives that prevent timely billing and reimbursement and assembling and analyzing the data and presenting the findings in a clear manner
Working collaboratively with the customer’s Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements
Analyzing billing data and performing trend analysis to improve billing
Developing non-standard reports to assist in identifying trends and systemic issues
Creating training documentation and providing software and process training to internal employees and customer staff members on the MEDITECH Accounts Receivable module and any third-party vendor clearinghouse
Assisting in processing and troubleshooting medical claims to third-party insurance carriers either electronically or by hard copy billing
Working with hospital or medical records staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers
Keeping updated on all billing and benefit changes for third-party insurance carriers
Preparing customer status reports for productivity, return on investment, and revenue and usage on a weekly or as needed basis
Acting as Lead and subject matter expert in claims processing, collections, Medicare, Medicaid, MEDITECH, and third-party claims submission vendors
Performing special projects or other duties as assigned
Consulting as needed with more senior team members on work approach and work product
Contributing to team objectives and outcomes
Developing your skill set and increasing your proficiency in your 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
Experience with MEDITECH dictionary builds required – Must have hands-on experience configuring and maintaining MEDITECH dictionaries, ensuring accurate and efficient system setup for billing, accounts receivable, and other revenue cycle processes.
2+ years revenue cycle analysis or related experience
Able to work successfully with general direction and latitude for independent judgement
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 judgement
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
Multiple health and dental plans with nationally recognized networks
Vision benefits
Total wellness program
Employee assistance program
Competitive wages
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
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