Revenue Cycle Analyst

Job not on LinkedIn

🔥 9 hours ago

🇺🇸 United States – Remote

💵 $90k - $100k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🦅 H1B Visa Sponsor

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Tegria

1001 - 5000 employees

Founded 2020

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to advance care, improve performance, and tackle the biggest challenges in healthcare. They offer a range of services including patient access optimization, data analytics, cloud solutions, and revenue cycle transformation to create value and enhance healthcare delivery. Tegria focuses on streamlining operations, fostering innovation, and leveraging technology to maximize performance and improve patient experiences.

📋 Description

• Provide customers with revenue cycle assessments, systemic issue identification, and system/process solutions • Assess revenue cycle integrity and workflow processes to improve efficiency and achieve revenue objectives • Research systemic billing and reimbursement issues and develop resolution approaches • Develop non-standard reports and analyze billing data and trends • Assist with processing and troubleshooting medical claims • Work with hospital or medical records staff to ensure correct diagnosis and procedures are reported • Participate in customer revenue cycle assessments and design improvement solutions • Research root causes preventing timely billing and reimbursement • Present analytical findings and assist with implementing revenue cycle improvements • Create training documentation and provide MEDITECH Accounts Receivable and third-party clearinghouse training • Keep updated on billing and benefit changes for third-party insurance carriers • Prepare weekly or as-needed customer status reports covering productivity, ROI, revenue, and usage • Act as lead and subject matter expert in claims processing, collections, Medicare, Medicaid, MEDITECH, and third-party claims submission vendors • Consult with senior team members as needed • Contribute to team objectives and outcomes • Perform special projects and other assigned duties

🎯 Requirements

• Bachelor’s degree in Health Information Management, Accounting, Math, Business or related fields; or equivalent combination of education and experience • 2+ years revenue cycle analysis or related experience • Experience mentoring less experienced team members • Solid knowledge of third-party billing requirements and HIPAA 837/835 electronic language • Good working knowledge of medical terminology, billing guidelines, HIPAA and compliance • W2 project-based consultants must provide a computing device adhering to industry standards and security best practices • Ability to maintain high standards for work quality • Ability to thrive under time constraints • Service mentality • Autonomy and excellent follow-through • Openness to feedback and mindset to grow skills

🏖️ Benefits

• Multiple health and dental plans with nationally recognized networks • Vision benefits • Total wellness program • Employee assistance program for you and your family • Retirement savings plans • Company-paid disability and life insurance • Pre-tax savings opportunities (HSA and/or FSA) • Professional development offerings • Opportunities for remote work • Generous paid-time-off program • Flexible scheduling to accommodate unexpected events

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