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ACU-Serve · 11 hours ago

AIC - Revenue Cycle Analyst

United States

Full-time

Remote

Entry Level

1+ years exp

ACU-Serve is focused on optimizing the revenue cycle process, and they are seeking a Revenue Cycle Analyst to manage various aspects of this process. The successful candidate will analyze billing, collections, coding, and reimbursement to enhance revenue capture and minimize errors.

CRMInformation Technology

Responsibilities

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 bother 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

Qualification

Revenue cycle analysisMedical billing knowledgeHealthcare IT familiarityAnalytical skillsCommunication skillsWindows proficiencyWord proficiencyExcel proficiencyCPR+CaretendWeinfuseHcN360Problem-solving skillsTeamwork ability

Required

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 part of a team

The ability to use logic as a problem-solving skill, and able to recognize trends to make decisions to improve business

Preferred

Not required but desired experience with CPR+, Caretend, Weinfuse, HcN360

Company

ACU-Serve

At ACU-Serve, we go beyond traditional revenue cycle management to help healthcare providers optimize operations, improve cash flow, and enhance patient care.

Founded in 1993

Akron, Ohio, USA

501-1000 employees