REVENUE CYCLE ANALYST / PROCESS ASSOCIATE:
Job Position : REVENUE CYCLE ANALYST / PROCESS ASSOCIATE
Job Category : KPO
Walk-In Location : Hyderabad, Andhra Pradesh
Job Location : Hyderabad, Andhra Pradesh
Compensation : Best in the Industry (Not a constraint for the right candidate)
General Description (Purpose and Function):
The Revenue Cycle Analyst will ensure that the department is accurately processing patient and financial data. The incumbent on this position will be responsible for the audit and reconciliation of account receivables. He/she will resolve all missing charges while ensuring that charges are entered correctly into IDX.
Primary Duties and Responsibilities (For Non-exempt Employees Include Percent of Effort):
•Analyzes billing process to ensure accuracy of billing documentation: Notes, AR Counter Balances, Payment Received/Promised documented, Timely Follow-Up, accurate Hold Codes applied, Posting within 48 hours, appropriate Transaction Codes, Deductible/Coinsurance applied accurately, and accurate Refund/Compliance Adjustments
•Holds meetings with the appropriate units and Director(s) to discuss outcomes of data analysis and possible corrective actions. Implements or assists with the implementation of corrective actions and monitors effectiveness
•Performs analysis of discrepancies/edits of IDX and assists with the coordination of systems’ reconciliation
•Holds weekly meetings with management teams to provide outcomes/feedback of reviews/audits, root causes, possible recommendation of corrective actions and implementations, and results
•Performs audits of Billing, Collections, Posting, Variance and Data Entry for accurate protocols and identify discrepancies. Runs and/or obtains ongoing IDX Productivity Reports of staff
•Develops audit tool(s) to track and monitor audit outcomes. Summarizes outcomes and reports them to the Director and/or the Management team(s)
•Analyzes non-governmental payor contracts and assures that contractual adjustments are accurate
•Reviews variance team “credit” processes for accuracy and effectiveness
•Reviews medical records using physical files or existing software to identify and locate medical documentation supporting billing charges
•As needed, reviews Fiscal Intermediary Local Coverage Determinations and CMS National Coverage Determinations on CPTs/HCPCs billed. On a timely manner, communicates updates/changes to Dept. Director
•Completes and submits CDM Change Request Form for changes/updates of CPTs/HCPCs to CDM (charge description master) Analyst. Analyzes, summarizes and discusses any potential impact with the department Director
•Researches/investigates the root causes of identified discrepancies in staff protocols
•Upon request, reviews and/or validates billing accounts, and communicates findings
•Other duties as assigned
Knowledge, Skills, and Abilities:
•Excellent written and verbal communication skills
•Strong interpersonal skills; ability to collaborate well with others
•Solid computer skills
Education Requirements :
•Bachelor’s degree in Accounting, Finance, Business or related
Work Experience Requirements :
•One year of relevant work related experience...
Only Shortlisted will b called for interview.
Interested Can send your cv's to hungrybirdhr@gmail.com
