Revenue Cycle Analyst

JOB DESCRIPTION SUMMARY

We are seeking an efficient and detail-oriented Revenue Cycle Analyst to enhance our company’s revenue cycle operations by developing and implementing strategies to increase our revenue in cost-effective manner. Demonstrates highly self-motivated and goal-driven professional person with the ability of excellent collaboration and communication skills. Having the knowledge and experience to perform the revenue forecast with good ethical principles of integrity and accuracy in the accounting practices.

JOB RESPONSIBILITIES

• Maintaining all Account Receivable functions in the Revenue Cycle Department.
• Closing the books weekly for all business units for Payroll and Billing purposes.
• Data Processing in Continulink Software for all daily transactions of posting payments, adjustments, denials, charges, demographics, claims, refunds, and write-offs.
• Submitting monthly invoices to Medicaid Spenddown Clients and negotiating payment arrangements for collections. Utilizing Converge Software to process payments over the phone.
• Editing with corrections of all denied claims to Indiana Medicaid through Web Interchange Software.
• Billing all Traditional Medicaid and other Medicaid- Managed Health Care Services like Anthem through Availity Software, Care Source, and MHS Software on a weekly or monthly basis.
• Billing Veteran Administration clients weekly through VACCN software and receiving all payments through Optum Payment Service Software for all payment and denial status.
• Preparing reports to work the Aging to decrease Account Receivable days and meet deadlines.
• Communicating with Clients, Medicaid, Veteran Administration, Staff/Management, and Others.

The above statements are intended to be a representative summary of the major responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in the description.

JOB QUALIFICATIONS

• Preferred a Degree in Accounting, Finance, or a related field; and/or have equivalent experience in the Health Care industry.
• Knowledge of Indiana Medicaid guidelines and regulations.
• Good organizational and time management skills.
• Proficient in Accounting, Microsoft Office, Data Analysis, and other software programs.
• Good analytical and critical thinking abilities.