Revenue Cycle Analyst, Full Time jobs in United States
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Iredell Health System · 15 hours ago

Revenue Cycle Analyst, Full Time

Iredell Health System is seeking a Revenue Cycle Analyst to address billing and collections issues impacting the hospital’s Accounts Receivables. The role involves conducting internal reviews of medical documentation, evaluating service appropriateness, and implementing follow-up procedures for third-party payer billing.

Health CareHospitalNon Profit

Responsibilities

Aggressively review and address billing and collections issues which directly impact the hospital’s Accounts Receivables
Conducts internal reviews of medical documentation supporting claims billed
Evaluate the appropriateness of the level of service, procedures and diagnosis codes billed based on the supporting documentation in accordance with coding guidelines
Assist, develop and implement appropriate third-party payer billing and collection follow-up procedures to ensure maximum reimbursement in timely manner
Recognizes and identifies payer denial trends, also makes recommendations to upper management pertaining to possible process changes
Analyze Aged Trial Balance by payer, perform follow up, and help manage A/R at assigned dunning levels
Work independently without close supervision and exercises independent judgment and discretion

Qualification

BillingCollectionsMedical documentation reviewMedicare/MedicaidBusiness software proficiencyProblem solvingCommunication skills

Required

Minimum 5 years of related work experience
Good communication skills
Proficiency in the use of a calculator, personal computers and business software (e.g., Word, Outlook, Excel, etc.)
Good working knowledge of Medicare, Medicaid, welfare agencies, insurances, etc. required
Excellent problem solving skills
Must possess full range of body motion to pass basic FIT test for position to include walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time
Must be able to lift and carry up to 30 pounds

Company

Iredell Health System

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Iredell Memorial Hospital is a 247-bed, non-profit facility, whose mission is to provide quality healthcare to persons.

Funding

Current Stage
Late Stage

Leadership Team

J
John Green
Chief Executive Officer
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B
Becky Wagner
System Vice President and Chief Nursing Officer
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