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Revenue Cycle Analyst, Physician Billing Specialist

1 month ago


Hasbrouck Heights, New Jersey, United States Hackensack Meridian Health Full time
Job Title: Revenue Cycle Analyst, Physician Billing

Job Summary:

We are seeking a highly skilled Revenue Cycle Analyst, Physician Billing to join our team at Hackensack Meridian Health. The successful candidate will be responsible for analyzing and resolving complex billing issues, ensuring accurate and timely payment of claims, and providing exceptional customer service to our patients and providers.

Key Responsibilities:
  • Participate in weekly graph and workflow meetings to discuss denials trending for the network and identify opportunities for improvement.
  • Perform root cause analysis of high-volume denials and underpayments, and present findings to the Revenue Cycle team.
  • Collaborate with the Training department to develop education materials based on improvement opportunities presented at inter-disciplinary meetings.
  • Monitor daily dashboards and reports to identify changes or enhancements required in current policies and procedures.
  • Conduct accounts receivable audits as defined by SVP, Sr Revenue Officer and Revenue Operations Managers.
  • Meet biweekly and monthly with various vendors and outside agencies to discuss bottlenecks in revenue flow and discuss solutions.
  • Assist with ongoing management of Epic as it relates to Resolute Hospital Billing Nova Notes and other Epic enhancements.
Requirements:
  • Bachelor's degree or equivalent HMHN work experience.
  • Minimum of 4 years of related work experience.
  • Strong analytical, mathematical, and report writing skills.
  • Knowledge of computers or hospital billing systems.
  • Proficient in Microsoft Office or Google applications.
  • Excellent communication and interpersonal skills.
Preferred Qualifications:
  • Bachelor's degree.
  • Experience in healthcare.
  • Knowledge of Managed Care contracts, Medicare, and Medicaid.
  • Proficient in SMS, Epic and/or other hospital billing systems.
  • Knowledge of ICD-9/10 and medical terminology.

About Hackensack Meridian Health:

Hackensack Meridian Health is a leading healthcare organization in New Jersey, committed to delivering exceptional patient care and improving the health of our communities. We offer a dynamic and supportive work environment, with opportunities for professional growth and development.