13 days old

Revenue Cycle Analyst

Detroit Medical Center Shared Services
Detroit, MI 48201
Under limited direction and according to established policies and procedures coordinates complex corporate revenue cycle studies. Analyzes data, identifies process issues and opportunities to enhance the number of billable services and reduce back end rejections. Coordinates and performs corporate audits to ensure charges are captured and billed appropriately. Determines impact on overall operations, explains effects, develops responses and solutions and communicates with appropriate personnel. Prepares reports that include analysis and interpretation of data and identifies trends which impact the revenue cycle. Maintains a high level of expertise to assure compliance with all regulatory and agency requirements, laws and statutes. Review, and approve or deny, adjustments, charity, and refunds related to individual patient accounts. Review, and approve or deny, re-classes posted to individual patient accounts. Clear edits and issues presented on QS, Rapid Response, or other sources as appropriate. Provides support during the month-end close process. Provides continuous communication and feedback to business units for process improvement. Edit resolution to ensure timely and accurate billing (DNSP) Perform other assigned duties as assigned.

  1. Associates Degree or equivalent experience. Bachelor s degree preferred in Business Administration, Healthcare Administration, or related area.
  2. Three (3) or more years revenue cycle operations experience preferably in hospital setting. Experience with automated patient accounting systems and electronic billing systems. Managed Care background.
  3. Strong working knowledge of third party billing and collection requirements to include Medicare. Medicaid, commercial and Managed Care Payers. Working knowledge of all Business Units, including Patient Access, HIM, Case Management and Finance
    3. Knowledge of UB-04 and Explanation of Benefits (EOB) interpretation, along with CPT-4 and ICD-9 Coding and insurance collections and terminology.
    Job: Finance and Accounting
    Primary Location: Detroit, Michigan
    Facility: Detroit Medical Center Shared Services
    Job Type: Full-time
    Shift Type: Days


    Posted: 2019-08-06 Expires: 2019-09-05

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    Revenue Cycle Analyst

    Detroit Medical Center Shared Services
    Detroit, MI 48201

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