Revenue Cycle Specialist
2 weeks ago
Trinity Health is seeking a highly skilled Revenue Cycle Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the efficient and accurate processing of medical claims, identifying and resolving billing issues, and providing exceptional customer service to our patients and providers.
Key Responsibilities:- Monitor and resolve claims work queues, including front-end, referrals, and authorizations.
- Review and analyze denial and rejection dashboards to identify trends and provide education to providers and front-end users.
- Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue.
- Run monthly reports to identify outbound referrals and communicate with managers for improvement opportunities.
- Process billable services in a timely manner and submit clean claims to insurance carriers.
- Work with the revenue cycle manager to identify needed feedback to practice locations.
- Process inpatient charges submitted by providers via interface tool or manual sheets.
- Review each claim for appropriate information and identify high-dollar outstanding balances.
- Provide necessary feedback from operational departments to the revenue integrity team.
- High school diploma or equivalency required; associates degree preferred.
- Effective written and verbal communication skills.
- 3+ years' experience in a physician practice or billing office.
- Demonstrated attention to detail, organization, and effective time management.
- Ability to work independently with little supervision.
- Knowledge of CPC, CPT, CPTII, and ICD10.
- Knowledge of insurance carriers.
- Solid judgment to escalate issues appropriately.
- Advanced knowledge of Microsoft Office and related computer programs.
Trinity Health offers a competitive salary range of $18.50 - $24.66, based on experience, skills, and education. We are an equal opportunity employer and value diversity and inclusion in our workplace.
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