Revenue Cycle Operations Analyst, Production

What You'll Do

• Draw upon past experience in billing, coding, and follow-up to advance patient accounts on behalf of our hospital clients
• Utilize data labeling of payer portals, EHR data, and payer responses to train our AI model

Skills & Qualifications

• At least 3 year experience with Epic, Cerner, or other EHR
• Healthcare setting (hospital or clinic) Patient Access Business Office experience is a plus
• Must be proficient in Microsoft Office (Word, Excel) and/or equivalent (Google Docs, Sheets)
• Familiarity with some or all of the following tasks:
• Obtaining pre-authorizations as required for medical services
• Checking eligibility and benefits for a given patient
• Preparing or reviewing medical claims (1500 forms/UB-04s) for completeness and accuracy
• Transmitting medical claims (1500 forms/UB-04s) for electronic or paper processing
• Auditing insurance payments for accuracy based off contractual discounts
• Following up with insurance companies on unpaid/underpaid claims (rebills, appeals)
• Identifying and billing secondary/tertiary insurance entities if necessary
• Reviewing accounts for applicable patient follow-up
• Is a self-motivated team player with excellent communication and problem solving skills
• Proven ability to successfully and effectively manage goals and deadlines
• Can successfully work independently in a remote/virtual work environment

What We Offer

• Unlimited paid time off (PTO)
• Expansive coverage for health, dental, and vision
• Employer contribution to Health Savings Accounts (HSA)
• Generous parent leave policy
• Full employee coverage for life insurance
• Company-paid holidays
• 401(K) plan