Associate Analyst, Revenue Operations

Pds Health - Irving, TX

Full-time - Entry Level

Irving, TX

About the position

The Associate Analyst, Revenue Operations at PDS Health plays a crucial role in assisting with production and collections. This position involves working closely with the Analyst, Collections II to ensure that claims are accurately billed to patients and insurance companies, and that receivables are collected effectively. The role is proactive in ensuring timely and correct billing to insurance companies, ultimately contributing to the financial health of the organization.

Responsibilities

• Assist Analyst, Revenue Operations to maximize office collections and implement guidelines to improve processes.
• Analyze internal and external reports to trace outstanding claim payments and request additional information from practices.
• Identify strategic financial solutions to drive higher payment percentages and faster billing cycles.
• Analyze AR Metrics to identify offices needing training or billing process improvements.
• Perform daily auditing and billing of assigned practice's patient claims for accurate reimbursement.
• Analyze Explanation of Benefits (EOB) statements and adjust accounts according to claims processing criteria.
• Negotiate with carriers to obtain claims approval and payment information.
• Review AR Report to ensure proper billing to insurance.
• Check portals weekly to obtain missing information for proper claims adjudication.
• Provide feedback to maximize collectable revenue for the region/office.

Requirements

• Bachelor's Degree in Finance, Business Administration, or related field.
• 1+ years of claims auditing or related experience in lieu of a degree.
• Experience working with Quality Systems Inc. (QSI).
• Strong computer and data entry skills with knowledge of Microsoft Word, Outlook, and Excel.

Nice-to-haves

• Previous Operation Management experience in a retail store or medical/dental practice.
• Insurance Claims Auditing experience.

Benefits

• Health insurance
• 401(k)
• Tuition reimbursement
• Paid time off
• Vision insurance