Revenue Mgmt Analyst presso None

QUALIFICATIONS

      Education

• High school diploma or equivalent
• Associate’s or Bachelor’s degree preferred

      Experience/Skills

• Understands hospital and/or physician patient accounting practices
• Has previous work experience with government and/or managed care insurance
• Understands medical terminology and CPT/HCPCS/ICD-10 coding
• Demonstrates proficiency in Meditech and MS Excel
• Professionally collaborates with staff at various levels throughout the organization, including, but not limited to: Physician Practices, HIM, Information Systems, Patient Financial Services and Clinical Directors
• Works efficiently with minimal supervision

      Required Licenses/Certifications

      Working Conditions

ROUTINE RESPONSIBILITIES

      Behavioral Expectations

      Essential Duties

• Manages and maintains the charge master
• Enters daily charges into the system
• Uses available tools to maintain a complete, accurate, and standardized CDM with uniform data elements and clinical practice consistency
• Collaborates with revenue generating departments to ensure accuracy of rates and required billing codes
• Revises and manages changes to chart tickets and superbills
• Provides support, education, and guidance to clinical and administrative departments in order to maximize appropriate revenue for the organization
• Scans copies and keeps record of charges posted and backs up
• Assists in compiling and monitoring patient statistics with HIM Director
• Performs daily charge entry functions for manually charged items
• Manages enterprise charge reconciliation, correction, and transferring processes
• Reviews revenue batches daily to ensure timely posting and resolution of errors/rejections
• Posts and prepares client bills monthly
• Monitors client registrations to ensure appropriate, accurate charges are billed
• Follows up on past due client bills
• Posts approved adjustments and refunds
• Posts revenue batches within one business day of receiving from departments