HIT Revenue Cycle Lead

ACU-Serve • Remote • 3w ago

Job Description Summary:

Generate claims for submissions to patients and/or third-party payers (commercial and federal/state government sponsored programs). These claims result from products and services administered to patients from our customers. Assist with the Revenue Analyst and ensure that follow-up is being done and payer issues are being resolved. Also be able to assist or do the month-end reporting for the account.

Qualifications:

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.
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.
Not required but desired experience with CPR+, Caretend, Weinfuse
The ability to use logic as a problem-solving skill and to recognize trends to improve business.

Duties and Responsibilities:

Assist with the continued development of existing Revenue Analysts and back up their responsibilities.

Maintain a smaller aging split and be able to jump on others splits as needed.

Submit claims to insurance companies in a timely fashion and within the individual insurance company’s timely filing period. Work with supervisor/auditor to make sure claims are being worked/billed in timely manner.

Meet as needed with analysts that need assistance to go over high dollar accounts, problem accounts, and/or have general questions.

Assist upper management with outstanding payor issues, high dollar accounts and provide a summary for month end summary.

Responsible for creating and maintaining spreadsheets that are shared with clients and/or managed care.

Work closely with other team leads (i.e., Billing Team Lead/Cash Lead) to identify and resolve outstanding payer issues.

Work directly with the clients on weekly calls, bi-weekly or monthly to review outstanding issues, including managed care calls.

Work directly with supervisor/manager providing feedback on employees that you are working directly with this includes suggested improvements, accomplishments, milestones, etc.

Assist with checking billing daily (This would differ by account)

Miscellaneous duties as assigned includes but not limited to
1. Learn new software/set up and work closely with trainer.
2. Work with upper management on specific account processes and help create and roll out to team
3. Assist with uploading and maintaining fee schedules
4. Assist with reviewing, approving and keying adjustments
5. Assist with month end – Gathering data and preparing month end summary/reports

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.