Revenue Cycle Analyst - Complete Business Office - CLOSED

2016 Best Places to Work in Healthcare

Job location: Spokane Valley, WA

Job Description:

Healthcare Resource Group (HRG) provides revenue cycle services to hospitals and clinics throughout the US. Due to continued growth we are seeking to add a Revenue Cycle Analyst to our talented Central Business Office Team of at our Spokane Valley Washington office. As an Employee Owned Company, we are committed to providing extraordinary service delivered with the utmost integrity and professionalism.

What HRG Offers:

Competitive compensation and referral bonuses
Career growth opportunities
Employee ownership and HRG paid retirement plan through Employee Stock Ownership Plan
Medical / Dental / Vision / Life / Disability / FSA and HSA / Supplemental / Wellness Program
Paid time off, sick days and paid holidays
Merchant discounts

Summary:

Under the direction of the Revenue Cycle Supervisor, perform daily hospital business office functions.  The Revenue Cycle Analyst is responsible for accurate and timely submission of daily assigned claims, rejected claims, and application of payments.  The main job function of a Revenue Cycle Analyst is to actively call payer organizations or utilize web-based connectivity to pursue reimbursement of services rendered and achieve accounts receivable resolution.  This position holds additional duties with respect to research, analysis, and the ability to provide guidance to fellow team members.

Core Responsibilities:

Contribute to positive business results by maintaining a workplace characterized by high performance, mutual support, respect and teamwork.
Regularly search for and identify opportunities for quality and process improvement resulting in improved efficiency, increased productivity and high customer satisfaction.
Continuously ensure unresolved issues are communicated early and escalated to management at appropriate time.
Identifies development opportunities to maximize the proficiency of HRGs proprietary database.
Perform additional duties as assigned.

Position Responsibilities:  

Develop and maintain an understanding of regulatory requirements for government and third party payers, including billing/payment guidelines as well as HIPAA requirements.
Knowledge of all applicable HRG/Client billing, cash posting, & follow-up procedures.

Billing Functions:

  • Complete billing of assigned accounts accurately and within a timely manner
  • Ability to work claim edits and identify errors that may require an edit build
  • Working knowledge of assigned EDI system
  • Work rejected claims in client EDI system and/or DDE
  • Perform secondary claim billing and financial class verification from daily EOB’s
  • Ability to work with HIS systems & EDI systems to correct claim mapping
  • Track claim edits and rejections and communicate findings with supervisor
  • Ability to provide guidance to fellow team members
  • Categorize daily claim validation and edits for reporting/trending

Cash Application Functions:

  • Complete cash applications for assigned client(s) accurately and within contractual timelines
  • Identify and attach all denial RA’s to patient accounts in proprietary database
  • Responsible to reconcile monthly transactions for assigned client(s) prior to month end close
  • Review and process cash application errors logged in proprietary database
  • Log deposits received in deposit workbook within Helix software system
  • Develop and maintain cash applications knowledge for multiple health information systems

Follow-up Functions:

  • Contact insurance carriers through website, email or telephone to resolve outstanding accounts
  • Analyze and resolve moderately complex insurance denials
  • Appeal and/or resubmit unresolved accounts to insurance carriers
  • Research and respond to insurance correspondence
  • Research and obtain required documents to resolve misdirected payments
  • Status accounts correctly based on client & HRG policy to ensure accurate account action
  • Analyze work list to spot trends; assess opportunities to improve account quantity

Qualifications:

  • Medical billing experience
  • Knowledge of health care terminology, laws and regulations
  • Knowledge in Excel with Experience in Microsoft Office applications
  • Proficient with data entry and multi-tasking in a Window’s environment
  • Effective verbal and written communication skills
  • Strong teamwork skills
  • Critical thinking and problem solving abilities
  • Responsible, reliable and accountable
  • Proficient with 10-key

Other Requirements:

  • Ability to make independent decisions
  • Ability to travel by automobile or commercial transportation
  • Ability to read documents and computer screens, potentially for extended periods of time
  • Dialing and responding to telephone or in-person inquiries and daily assignments
  • Sitting at a desk or computer terminal and writing, typing, keying and coding information
  • Proficient with data entry and multi-tasking in a Window’s environment

Interested applicants with relevant experience are encouraged to apply today for immediate consideration!