Revenue Cycle Analyst chez Wood River Health

Wood River Health is hiring a Revenue Cycle Analyst to join our Billing Team! Revenue Cycle Analysts play a critical role in managing claims. This position is responsible for creating claims, posting payments and post-billing follow up. Monitor and address all outstanding accounts receivable until resolved. Ensuring accuracy for successful claims cycle. Works with Patient Account Representative on self-pay accounts.  Works with patients and insurance companies to ensure collection for services. Monitors daily billing activities and identifies trends in non-payment.  Run daily claims variance reports from PM to clearinghouse.  Ensures accurate and timely billing and collections and overall claims revenue cycle management.

Not only do we offer a great work environment, our benefits are fantastic! Packages include a generous paid time off program, PLUS personal days, PLUS paid holidays. We offer health insurance, flexible spending account, life insurance, 403(b) with employer match, work/life balance, tuition assistance, and much more!

Revenue Cycle Analyst essential duties include but are not limited to:

• Review EHR/EDR encounters for processing claims (2 days)
• Ensure data integrity for successful claims processing (location, rendering, codes)
• Secondary patient liaison
• Verifies and updates insurance information as required
• Address phone messages and EHR tasks
• Monitor Kept Appointments with no charge’s backup
• Patient statements
• Create electronic and paper claims
• Post claim payments, electronic and mail payments
• Pursue AR recovery of denied and rejected claims
• Track denials and rejections by reason code for process improvement
• Ensure denials are accurately processed and follow up has occurred
• Monitor clearinghouse rejections daily - immediate correction and resubmission
• Month-end close
• Design/utilize a variety of reports to identify areas of opportunity
• Conforms to all applicable HIPAA, Billing Compliance and safety policies and guidelines.
• Design/utilize a variety of reports to identify areas of opportunity
• Keeps apprised of rules and regulations affecting reimbursement. Stays current through appropriate journals and personal contacts of such developments in the industry as may increase the effectiveness of operations.
• Identify underpayments across payers
• Daily NextGen vs clearinghouse reconciliation
• Maintain strict confidentiality in all matters
• Operate within the scope of the Health Information Portability and Accountability Act to safeguard the privacy of protected patient health information 
• Enliven and support the mission, vision, and values of Wood River Health
• Adhere to organizational policies and procedures and Wood River Health Compliance Program Standards
• Performing other duties as assigned to meet business needs

Education & Experience

• High School Diploma or equivalent.
• Experience billing for a physician or dental practice or comparable experience in a relative position preferred. 
• Demonstrated proficient computer keyboard skills and math aptitude test. 
• Comprehensive knowledge of insurance terminology, billing, collection, and appeal process. Understanding of Revenue Cycle Management
• Ability to effectively use MS Office Suite, Internet, and email
• Cultural sensitivity necessary to work with a diverse patient and staff population

Licensure & Certification

• Certified Professional Coder (CPC) or related certification, preferred

Wood River Health is an Equal Employment Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, religion, age, disability status, national origin, sexual orientation, gender identity or expression, protected veterans status, or any other characteristic protected by law. We are actively seeking a diverse array of candidates.