Revenue Cycle Analyst

Job not on LinkedIn

🕒 April 15

🏈 Alabama, Arizona, +17 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Knowtion Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2008

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

💰 Private Equity Round on 2020-09

Healthcare Insurance • Fintech • SaaS

Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.

📋 Description

• Submit Open Negotiation letters and IDR Disputes for federal and state processes • Analyze insurance cards and EOBs to determine if a claim is Self Funded or Fully Funded • Run reports to identify trends and patterns within claims inventory to drive workflow including any bulk account actions that can be applied to the inventory (Example: non-viable IDR submissions) • Manage relationships with Out of Network payers to establish a claim settlement process where applicable • Analyze data to identify areas for improvement within inventory for billing, claim reimbursement, and follow-up processes • Validate analytics using data from client systems • Review insurance companies payment patterns and denials to identify any trends and irregularities. • Reconcile inventory including payments, adjustments and returned accounts as needed • Present IDR findings in a clear and concise manner to clients and internal stakeholders • Work closely with product management and implementation teams regarding any new operational analytic enhancements which may be needed for one or many clients.

🎯 Requirements

• Bachelor's Degree or equivalent experience • 3+ years of experience in hospital revenue cycle analytics preferred or equivalent experience in hospital accounts receivable claims management • Experience in reviewing insurance cards, EOBs, and claims data • Knowledge of Revenue Cycle and different Revenue Cycle systems/applications

🏖️ Benefits

• medical • dental • vision • life insurance • short term disability • long term disability • paid holidays • 401k • generous PTO policy