Revenue Cycle IDR Analyst

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🏈 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

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Knowtion Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2008

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2020-09

Consulting • Insurance • Logistics

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

• Serve as a subject matter expert managing a specific client’s Out of Network inventory • Leverage project management and revenue cycle skills to identify trends and patterns supporting strategic IDR dispute submissions • Submit Open Negotiation letters and IDR Disputes for federal and state processes • Analyze insurance cards and EOBs to determine whether a claim is Self Funded or Fully Funded • Run reports to identify trends and patterns within claims inventory and drive workflow, including bulk account actions • Manage relationships with Out of Network payers to establish claim settlement processes where applicable • Analyze data to identify improvements in billing, claim reimbursement, and follow-up processes • Validate analytics using data from client systems • Review insurance companies’ payment patterns and denials to identify trends and irregularities • Reconcile inventory, including payments, adjustments, and returned accounts • Present IDR findings clearly to clients and internal stakeholders • Collaborate with product management and implementation teams on operational analytic enhancements for 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 reviewing insurance cards, EOBs, and claims data • Knowledge of Revenue Cycle and different Revenue Cycle systems/applications • Must present a valid government-issued photo ID during screening and/or interviews • Must consent to photograph capture during screening or interview for identity verification, security, and record-keeping purposes • Knowtion Health gives priority to applicants located in AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability insurance • Long-term disability insurance • Paid holidays • 401(k) • Generous PTO policy • Remote work • Dedicated, distraction-free workspace at home