What are the responsibilities and job description for the Revenue Cycle Analyst position at Catalyst Health Group?
Job Summary
To support multiple clients with a team of Revenue Cycle Analysts located in the centralized office.
Role and Responsibilities
- Posting patient and carrier payments in Revenue Cycle Management system (RCM)
- Reviews payment postings for accuracy and to ensure account balances are current
- Insurance verification
- Review patient statements for accuracy
- Reviewing and submitting patient claims
- Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer
- Works with Revenue Cycle team to resolve payment and billing errors
- Answers patients’ payment, billing, and insurance questions and resolves complaints
- Contacts payers to resolve payer issues, expedite claim processing and maximize medical claim reimbursement
- Submits appeals with appropriate/requested documentation to payers
- Maintains credit balances of patients and payers ensuring timely refunds within government guidelines/regulations
- Maintains a daily productivity log showing t number of accounts worked and submits the log as requested
- Perform other duties as assigned
Qualifications and Requirements
- 1 years healthcare industry experience
- Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions
- Highly detail oriented, with strong organizational skills
- Excellent communication and interpersonal skills with a focus on customer service
- Investigate problems and develop/communicate solutions
- Act and operate independently, with minimal supervision
- Meet assigned deadlines
- Bachelor’s Degree preferred
Preferred Skills
- Experience with eCW platform
- Knowledge of Medicare and Commercial payers and guidelines governing collection activities
- Strong Excel skills
RCM Business Senior Analyst
Conifer Revenue Cycle Solutions -
Frisco, TX
Coding Analyst - 2nd Level Reviewer - Remote
Conifer Revenue Cycle Solutions -
Frisco, TX
Business Insight Analyst II (Remote based in the US)
Conifer Revenue Cycle Solutions -
Frisco, TX