Skyland Trail - Chamblee, GA
posted 4 months ago
The Revenue Cycle Analyst - Insurance plays a crucial role in the daily operations of the Patient Accounts Department at Skyland Trail. This position requires exemplary customer service skills, as the analyst will interact with co-workers, the public, and various stakeholders including vendors and payers. The primary responsibility of the analyst is to assist in resolving claim underpayments or denials, ensuring that all assigned accounts are billed and followed up on in a timely manner according to established policies. The analyst will analyze account histories to expedite payments and improve cash flow, while also following up with payers regarding the collection of past due accounts, managing a minimum of 45 claims or dates of service per day. In addition to payment posting and timely billing, the Revenue Cycle Analyst will communicate effectively with the director to report problems and provide updates on the status of accounts. The role involves preparing documents, spreadsheets, or reports as requested, and ensuring that claim batches and payment processing adhere to departmental guidelines. The analyst will work closely with accounting staff for daily cash reconciliation and regularly meet with the team and director to discuss workflow issues and departmental concerns. A strong understanding of HIPAA standards and compliance is essential, as the analyst will monitor reports for compliance with expected standards and assist with client statement issues as needed. The position requires the initiation of billing on assigned claims through electronic formats, auditing claims for completeness, and maintaining control of claims billed and pending. The analyst will also follow up on unpaid claims over 30 days, analyze aging reports, and maintain documentation of all collection activities. The role demands a proactive approach to collection efforts, with the analyst submitting account adjustments and refund requests to the director as necessary, and resolving credit balance accounts monthly. Overall, this position is integral to ensuring the financial health of the organization and supporting the mission of Skyland Trail.