Revenue Cycle Analyst

Overview: We are seeking a skilled Revenue Cycle Specialist to join our team. As a Revenue Cycle Specialist, you will be responsible for ensuring accurate and timely billing and reimbursement processes. The ideal candidate will have a strong understanding of medical billing and coding, as well as experience with medical collections and record systems.

Responsibilities: - Review and analyze medical records, ensuring proper coding and documentation- Verify insurance eligibility and benefits for patients- Prepare and submit claims to insurance companies- Follow up on unpaid claims and denials, resolving any issues or discrepancies- Collaborate with healthcare providers to ensure accurate and complete billing information- Maintain up-to-date knowledge of coding guidelines, regulations, and industry changes- Assist with the development and implementation of revenue cycle improvement initiatives- Provide support in the resolution of patient billing inquiries or disputes

Experience: - Minimum of 2 years of experience in medical billing or revenue cycle management- Proficiency in DRG (Diagnosis Related Group) coding and ICD-9/ICD-10 coding systems- Strong understanding of medical terminology, procedures, and documentation requirements- Familiarity with medical office operations, including insurance verification and claim submission processes- Experience with medical collections and working with insurance companies to resolve payment issues- Proficient in using electronic medical record systems and billing software

Skills: - Excellent attention to detail and accuracy in coding and documentation- Strong analytical skills to review medical records for proper coding assignment- Effective communication skills to collaborate with healthcare providers and insurance companies- Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment- Knowledge of reimbursement methodologies, including Medicare, Medicaid, and commercial insurance plans

Requirements:

• High school graduate
• Experience in managed care, extensive knowledge in all payment methodologies, stop loss, MS-DRGS, HCPCS and ICD codes, per diems, exceptions, etc., extensive experience in analyzing rates, utilization data & developing pricing models, intermediate to advance user of spreadsheet & database applications
• Understands HFA 1500 Billing form data elements

Job Types: Contract, Temporary

Pay: $25.00 - $30.00 per hour

Experience:

• ICD-10: 1 year (Preferred)

Ability to Commute:

• Whittier, CA 90602 (Required)

Ability to Relocate:

• Whittier, CA 90602: Relocate before starting work (Required)

Work Location: In person