Revenue Cycle Analyst

About the Role

Assists in the overall general daily operations of the Patient Accounts Department, exhibiting exemplary customer service skills when dealing with co-workers, the public, vendors, payers, or department heads. Responsible for payment posting, timely billing, and follow-up on all assigned accounts until paid or adjusted according to policies. Analyzes account history to expedite payment and improve cash flow.

Responsibilities

• Assures claim batches and payment processing are performed within departmental guidelines and works directly with the director and co-workers to meet protocols, procedures, and daily expectations.
• Follows up with payers regarding the collection of past-due accounts, handling a minimum of 45 claims or dates of service per day.
• Communicates effectively with the director to report problems and provide follow-up on status.
• Works with accounting staff on daily cash reconciliation.
• Regularly meets with the team and director to discuss problems, workflow issues, and general departmental concerns.
• Possesses in-depth knowledge of HIPAA standards, compliance, and follows appropriate reporting procedures.
• Monitors reports for compliance with expected standards.
• Assists with client statement issues as needed.
• Initiates billing on assigned claims in an expeditious manner through electronic format and audits claims to ensure pertinent information is captured, including authorizations, clinical notes, and treatment plans.
• Maintains control of claims billed and pending to ensure full accountability for all assigned accounts.
• Follows up on all unpaid claims over 30 days and analyzes aging reports to identify details of open account balances.
• Maintains documentation of all collection activity and advises the director of workload problems that may prevent timely follow-up on accounts.
• Tracks unbilled claims weekly and notifies the director of trends or issues.
• Works EOB/ERAs daily to identify denials or short-paid claims.
• Collaborates with other departments on eligibility issues and necessary documentation to ensure timely collection of accounts.
• Demonstrates professionally aggressive yet conscientious collection efforts.
• Submits account adjustments to the director for approval as appropriate.
• Submits completed refund request documentation to the director within policy guidelines.
• Resolves credit balance accounts on a monthly basis.
• Performs all other duties as assigned by the director.

Requirements

• High School graduate or equivalent.
• 5+ years of related experience in a high-volume healthcare setting with health insurance billing and accounts receivable duties.
• Extensive knowledge of healthcare insurance billing and payor-specific billing guidelines.
• Knowledge of Excel, Word, and other IT systems relevant to the organization’s workflow.
• Exceptional medical terminology and coding knowledge.
• HCFA and UB knowledge.
• Mental health billing experience preferred.

Benefits

• 9 paid organization-wide holidays.
• 1 paid personal holiday.
• Accrued PTO.
• Medical, dental, and vision insurance plans.
• Employer match toward 403(b) retirement savings account for eligible employees.
• Employee assistance program for free or reduced financial counseling, mental health counseling, and other confidential professional assistance.
• As a 501(c)(3) nonprofit organization, Skyland Trail is a Public Service Loan Forgiveness (PSLF) qualified employer; full-time employees may qualify for the federal student loan forgiveness program.

Workplace Culture

Skyland Trail is a nonprofit mission-focused organization with five campuses in Atlanta and about 250 employees. Employees work collaboratively in small teams, with cross-departmental committees and working groups ensuring quality and performance improvement. The organization respects and values individuals and their diverse histories, abilities, identities, and perspectives, committing to diversity, inclusion, and cultural equity.

Remote work opportunity available.