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