Role Description
Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Accounts Receivable Analyst, you will have the ability to share new ideas and collaborate on projects as an Analyst without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite and/or remote client service delivery.
Work you'll do
-
Deliver Back End Revenue Cycle Management (RCM) services, including:
-
Billing and Claims Submission
-
A/R Follow-up
-
Denials Management
-
Payment Posting
-
Credits and Refunds
-
Review AR aging reports and work queues to identify unpaid and delayed claims.
-
Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
-
Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
-
Document claim status details and payer-provided information.
-
Provide account information to payers and resolve issues related to:
-
Eligibility
-
Authorizations
-
Claim edits
-
Coordination of benefits
-
Missing documentation
-
Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
-
Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
-
Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems as required by workflows.
-
Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.
-
Support team members in resolving complex claims.
-
Support engagement management in pulling performance reporting.
Qualifications
-
Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience.
-
2+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area.
-
Intermediate proficiency in claims clearinghouse systems.
-
Experience using Epic Resolute Hospital Billing application.
-
Familiarity with Epic Analytics and Reporting applications.
-
Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
-
Limited immigration sponsorship may be available.
Requirements
-
Experience using Microsoft Word, Excel, and PowerPoint.
-
Experience supporting clinical or healthcare business operations.
-
Experience managing multiple projects or workstreams.
-
Experience preparing and delivering technical demonstrations.
-
Experience analyzing billing workflows, claim issues, or operational data.
Benefits
-
Broad range of benefits offered to employees.
-
Inclusive culture that empowers individuals to contribute unique perspectives.
-
Opportunities for professional development and mentorship.