Revenue Cycle Analyst

🕒 Maio 29

🏄 California, New York, +1 estados a mais – Remoto

🏄 California – Remote 🗽 New York – Remote ☕ Washington – Remote

💵 $82.800 - $103.500 / ano

⏰ Tempo Integral

🟢 Júnior

🧐 Analista

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Omada Health

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2011

⚕️ Seguro de Saúde

🧘 Bem-estar

☁️ SaaS

💰 $192.000.000 Series E em 2022-02

Healthcare Insurance • Wellness • SaaS

A Omada Health é uma empresa de Virtual Care focada em ajudar pessoas a alcançar seus objetivos de saúde por meio de suporte e programas personalizados. A empresa oferece soluções abrangentes de gestão da saúde para condições como diabetes, hipertensão e saúde musculoesquelética. A Omada fornece coaching de saúde individual e dispositivos inteligentes para monitorar e melhorar a saúde, criando planos de cuidado personalizados para seus usuários. Seus programas são projetados para serem acessíveis sem custo para os participantes quando cobertos pelo empregador ou pelo plano de saúde, tornando a Omada uma líder na oferta de cuidados virtuais de qualidade que são ao mesmo tempo pessoais e sustentáveis.

Descrição

• Assist team on a smooth end-to-end billing process • Assist with any new RCM payer implementations • Assist with communication to Omada’s clearinghouse on new connections and any claims management issues • Participate in cross-functional efforts to increase efficiency and effectiveness of RCM systems and processes • Identify and propose enhancements to workflows based on data, trends, and user feedback • Support testing, validation, and rollout of new or updated RCM processes to ensure accuracy and compliance • Work with payers to integrate with Omada’s unique billing model and educate internal stakeholders • Maintain clear, up-to-date process documentation and standard operating procedures (SOPs) for RCM workflows • Ensure all policies, procedures and initiatives are handled in a HIPAA-compliant fashion • Respond to operational questions across email, Slack, and ticketing tools • Ensure cross-functional teams have the support they need to complete requests • Investigate, document, and follow up on denials and underpayments • Investigate, document, and execute refunds • Assist with achieving team Accounts Receivable and Bad Debt Reserve goals • Perform weekly bank and claim reconciliation • Complete monthly revenue integrity checks • Complete recurring work queues on a monthly basis

🎯 Requisitos

• Passion for Omada’s mission • 1 - 3 years’ experience executing revenue cycle management in a healthcare setting • Knowledge of the US healthcare system, industry terminology (e.g. CPT and ICD-10 diagnosis codes), and best practices • Advanced proficiency in Excel • Excellent written and verbal communication skills and comfort working with both technical and non-technical stakeholders • Ability to juggle both proactive scheduled tasks along with reactive escalations

🏖️ Benefícios

• Competitive salary with generous annual cash bonus • Remote first work from home culture • Flexible Time Off to help you rest, recharge, and connect with loved ones • Generous parental leave • Health, dental, and vision insurance (and above market employer contributions) • 401k retirement savings plan • Lifestyle Spending Account (LSA) • Mental Health Support Solutions • ...and more!