Revenue Cycle Analyst – Full Time

Overview

Responsible for analyzing and interpreting data related to all aspects of revenue cycle including credit balances. Stay current with federal and government billing guidelines. Maintains a professional, courteous, cooperative demeanor in all communications and interactions with all individual and organizations with whom the Revenue Cycle Analyst comes into contact

Job Qualifications

    • Education: High school graduate, college preferred.
    • Personal job-related skills: Typing speed of 45 wpm, operation of ten-key adding machine/calculator. Familiar with Windows system for computers, Windows Office Suite (including Word and Excel) and general computer use.
    • Licensure, registry or certification: None required.
    • Prior Work Experience: Prefer three or more years office experience. Prefer familiarity with hospital accounting and business office functions.
    • Technical Training: Office equipment, personal computers, and accounting software training required.
    • Physical and Mental Requirements: Duties of the position require intermittent walking, sitting, and standing. Some bending, stooping, and reaching is required with the lifting of items up to a weight of 40 pounds. The ability to comprehend and follow routine written or verbal instructions

Essential Duties and Responsibilities:

  • Maintain and analyze Medicare Advantages Accounts Receivable
  • Maintain and analyze Worker’s Compensation Claims
  • Maintain and analyze Motor Vehicles Accident Claims
  • Maintain, analyze, and fax Medicare Quarterly Credit Balance Reports
  • Maintain and analyze Traditional Medicare, Medicare Advantage Plans, and Commercial credits
  • Assist with special projects as needed

Other Significant Requirements:

  • Identify denial trends and underpayments
  • Pull data and reports for leadership
  • Participate in meetings and committees as needed
  • Assist Accounting Department as needed
  • Assist CEO/CFO/Directors/Managers with Special Projects as needed
  • Maintains confidentiality while working with confidential matters on a daily basis.
  • Adheres to Hamilton Healthcare System’s Behavioral Standards.
  • Emulates the customer service expectations for Accountability, Respect, Integrity, Service, and Excellence.
  • Maintains HIPAA compliance at all times.
  • Abides by the Hamilton Healthcare System Personnel Policy and Employee Handbook.
  • Performs all other duties as assigned
  • Maintains confidentiality while working with patient health information with regards to HIPAA and Hospital rules and regulations.
  • Follows procedures for using precautions when involved in direct patient contact or when handling potentially infectious materials.
  • Serves as a general supervisor of the laboratory operations in the absence of the director and if the director is not available for immediate communication

Benefits offered

    • Paid time off
    • Health insurance
    • Dental insurance
    • Healthcare spending or reimbursement accounts such as HSAs or FSAs
    • Other types of insurance
    • Retirement benefits or accounts
    • Education assistance or tuition reimbursement
    • Gym memberships or discounts
    • Employee discounts

Location

Hamilton General Hospital

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