Community Health Systems · 4 hours ago

Refund Audit Analyst (Remote)

Franklin, TN

Full-time

Remote

Entry, Mid Level

2+ years exp

Maximize your interview chances

Health CareHospital

Actively Hiring

Insider Connection @Community Health Systems

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Reviews workflow dashboards and AR aging reports with the designated clinic personnel to identify trends in Key Indicators that impact the clinics financial performance

Researches, identifies, and rectifies any circumstances affecting delayed submission of insurance accounts or payment of accounts; Provides feedback/education to clinic staff to prevent reoccurrence of these issues.

Works compliance and special projects as assigned my leadership

Processes adjustments in Athena

Ability to conduct “root cause” analysis as a result of trends within the key performance indicators

Provides training related to PPS/CHS policies, procedures and practice management system to clinic personnel

Accurately and completely documents all communications, trainings and other transactions between the clinic staff and PPS

Maintains current knowledge base of all Federal and state billing regulations and guidelines

Demonstrates a positive and professional demeanor in all interactions with clinic employees, corporate personnel, and other associates

Identifies opportunities for improvement within the clinic operations as well as CBO work flow processes

Prepares and reviews reports/ documents with appropriate staff as required

Demonstrates ability to identify issues outside work flow process and escalates them when necessary

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Revenue Cycle ManagementICD9 CodingCPT CodingMicrosoft OfficePractice Management SystemsRoot Cause AnalysisFederal Billing RegulationsState Billing RegulationsAttendance/Punctuality