[Hiring] AIC Revenue Cycle Analyst @ACU-Serve Corp

Role Description

The Revenue Cycle Analyst will play a vital role in optimizing the revenue cycle process. This position is responsible for analyzing and managing various aspects of the revenue cycle process, including billing, collections, coding, and reimbursement.

• Ensure accurate coding, charge capture, and billing practices in compliance with industry standards (i.e., CPT ICD-10, HIPAA)
• Collect data from our Clients daily or weekly, to generate claims using various software platforms.
• Manage and monitor claims to maximize timely and accurate reimbursement, including claim submissions, denial management, and appeals.
• Identify opportunities to enhance revenue capture, minimize revenue errors, and reduce bad debt through analysis of key performance indicators.
• Analyze payer contracts, fee schedules, and reimbursement to ensure proper reimbursement is made on paid claims.
• Track claims that are pending due to missing or incomplete documentation (i.e.: DIF, RX, authorization, etc.).
• Ensure claims are submitted promptly to insurance companies within their specified filing period.
• Regularly make follow-up calls to insurance providers to check the status of claims not settled within 30 days or their standard processing time.
• Timely submission of appeals to secure correct payment for outstanding claims.
• Address partial payments and denials promptly while also submitting and following up on secondary claims for resolution.
• Deliver outstanding communication to clients both verbally and in writing.
• Recognize and report any issues or patterns to management as necessary.
• Work claims rejected in the claim’s clearinghouse and resubmit them as required.
• Ensure that notes are recorded within the client’s software platform in a clear, concise, and timely manner.
• Additional duties as assigned.

Qualifications

• Desired one year experience in revenue cycle analysis within the healthcare industry, preferably in infusion.
• Minimum of a high school diploma or GED is required.
• Post-Secondary education in a medical discipline highly desired.
• Knowledge of Windows, Word, and Excel is highly desired.
• Excellent telephone and communication skills essential.
• Strong analytical skills and attention to detail.
• Familiarity with healthcare IT and revenue management software.
• Ability to work independently and as part of a team.
• Not required but desired experience with CPR+, Caretend, Weinfuse, HcN360.
• The ability to use logic as a problem-solving skill and able to recognize trends to make decisions to improve business.