Jobs · Tennessee

Epic Resolute Hospital Billing Associate Analyst

Deloitte · Hermitage, TN · 2 wk ago
Hybrid$50k–$60k/yrFull-time

About the role

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced EPIC Resolute Hospital Billing Associate Analyst, you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery.

Responsibilities

  • Review AR aging reports and work queues to identify unpaid and delayed claims.
  • Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
  • Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
  • Document claim status details and payer-provided information
  • Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
  • Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
  • Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
  • Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
  • Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.

Skills

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The Team

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Qualifications

  • 1+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
  • 1+ years of foundational proficiency in Epic Resolute Hospital Billing application
  • 1+ years of experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system
  • Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience

Pay

$50,000-$60,000. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

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