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Revenue Cycle Payor File Specialist

2 months ago

Baton Rouge Louisiana, United States Amedisys, Inc. Full time
About Amedisys, Inc.

Amedisys, Inc. is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, we are committed to improving the lives of those we serve.

Job Summary

We are seeking a skilled Revenue Cycle Payor File Analyst to join our team. The successful candidate will be responsible for analyzing payor code information, researching billing requirements, and developing effective solutions for claim submission errors or collection issues.

Key Responsibilities
  • Fulfills requests to add or edit payor codes and service codes promptly.
  • Analyzes the payor code information to determine if billing is set up accurately according to the payor specifications.
  • Researches payor billing requirements and challenges inconsistencies that could result in claim submission errors or collection issues.
  • Works closely with other departments to develop the most effective solutions for claim submission errors or collection issues.
  • Assists with payor performance reviews to investigate claim submission errors or collection issues.
  • Recommends process improvements for the payor file resulting from audit reports.
  • Develops and maintains a knowledge base of payor information.
Requirements
  • High school diploma or equivalent required. Post-secondary education or training in business or medical billing/collections preferred.
  • Three + years' experience in healthcare revenue cycle support
  • Must be proficient in Microsoft Office with a focus on creating spreadsheets.
  • Excellent interpersonal skills including excellent oral and written communication skills.
  • Demonstrated knowledge of customer service skills when responding to questions and other inquiries from internal and external customers.
What We Offer

Amedisys, Inc. offers a comprehensive benefits package, including a full benefits package with choice of affordable PPO or HSA medical plans, paid time off, up to $1,300 in free healthcare services paid by Amedisys yearly, and more.