Job Description Summary:
The Revenue Cycle Support Analyst plays a vital role in optimizing the revenue cycle process. This position will be responsible for day-to-day office activities and assist with various clerical tasks. Tasks vary based on client or account requirements and may encompass responsibilities ranging from intake processes to cash management activities.
Qualifications:
- Desired one Year experience in revenue cycle analysis within the healthcare industry, preferably in infusion.
- A minimum 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 are essential.
- Strong analytical skills and attention to detail
- Ability to work independently and part of a team.
- Not required but desired experience with CPR+, CareTend, Weinfuse, Brightree
Duties and Responsibilities:
- Work claims rejected in the claim’s clearinghouse and resubmit them as required (Varies by client/account)
- Daily notation of claims accepted by the clearinghouse
- Daily notation of claims rejected by the clearinghouse
- Daily printing/mailing for all remote employees & notating claims that correspondence has been mailed
- Run daily report to capture daily note counts for each collector
- Data entry/keying of claims as needed (Varies by client/account)
- Pulling weekly reporting and distributing accordingly (Varies by client/account)
- Assist with pulling fee schedules
- Working rejections in clearinghouse (Varies by client/account)
- Reorganizing/filing/routing documents to other team members
- Additional duties as assigned
Intake Support Duties and Responsibilities:
- Checking daily flow schedule, pull any new patients and adding to spreadsheet (Varies by client/account)
- Follow up on outstanding prior authorizations
- Investigate any patients flagged as “Red” and address issues promptly (Varies by client/account)
- Check various spreadsheets and follow up on any outstanding patients where items have been received such as documentation and designate to the benefits analyst
- Compile and provide a weekly list for end-of-day email to the benefits analyst
- Review schedules 2 weeks in advance to confirm all patient information is accurate and on file
- Additional duties as assigned
Working Conditions:
- Ability to sit 90% of the workday.
- Workload may occasionally require overtime hours.
- Workspace (remote employees)- a comfortable dedicated workspace is essential. This space must be quiet and distraction free.
- It is necessary to have high Speed internet.
