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Revenue Cycle Analyst
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Revenue Cycle Analyst
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Senior Revenue Cycle Analyst
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Lead BI Analyst
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Senior Data Integrations Analyst
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Revenue Integrity Analyst
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Business Systems Consultant
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Idaho State Job Bank Boise, United StatesBusiness Systems Consultant - Remote at Highmark Health in Boise, Idaho, United States Job Description Company : enGen Job Description : JOB SUMMARY Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen and must also ...
US-Sr Rev Cycle Analyst - Boise, United States - Idaho State Job Bank
Description
US-Sr Rev Cycle Analyst at R1 RCM in Boise, Idaho, United States Job Description The Senior Revenue Cycle Analyst will help validate and review hospital accounts which are believed to have additional revenue opportunity.
Everyday you will confirm the claim reimbursement to ensure there are no additional variables impacting reimbursement, confirm BlueCard eligibility, and initiate the process of maximizing the client's revenue via the established void/rebill submission process.
To thrive you must have experience with data mining, trending and auditing claims.Responsibilities:
+ The Senior Analyst must be highly efficient in time management, punctuality, demonstrate effective interpersonal skills, attention to detail, strong organizational and prioritization skills. + The Senior Analyst shall demonstrate excellent analytical skills and have intimate knowledge of the Hospital Revenue Cycle. These analyses are quantified and delivered to our client to drive automation via BlueCard Prebill services. + The Senior Analyst will work within the client's Patient Accounting system, payer portals and/or websites, and will utilize our proprietary software to research accounts in their own work queue as well as monitor and QA the accounts in work queues of junior staff. + Upon discovery of new information, the Senior Analyst will be expected to 're-price' the account, including complex scenarios, and therefore must have mastery of inpatient and outpatient managed care payment methodologies. (e.g., Cost Outlier, APC-based pricing, OPPS, multiple procedure reductions, line-item fee schedules, etc.). + The Senior Analyst will lead the effort of training new Analysts and will perform QA/review accounts before moving accounts to the resolution work queue. The Senior Analyst must be available to all team members assigned to assist them with questions and concerns to ensure contracts are followed as written and do so in a positive manner. The Senior Analyst must function as an escalation point and resource for effectively researching complex claim issues. + The Senior Analyst will additionally monitor the work queues of junior staff and collaborate with Management to outline strategy, priorities, and focus for the upcoming week(s) and month(s) to ensure progress is made in production volumes and underpayment risk does not go overlooked or become untimely. + The Senior Analyst will be expected to assist Management with planning, short- and long- term budget forecasting, and will at times be needed to work accounts and perform the job duties of To view full details and how to apply, please login or create a Job Seeker account
