Revenue Cycle Analyst - Jackson, MS

Canopy Children's Solutions - Jackson, MS

Full-time

Jackson, MS

Social Assistance

About the position

Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provider of children's behavioral health, educational, and social service solutions. Canopy employs a diverse group of mission-driven individuals committed to honoring the voice of Mississippi children and families. Being an integral part of the Canopy team involves committing to the Core Values that drive our organization forward: the voice of our children and families always comes first, relationships matter and our differences make us stronger, we take great joy in service to others, and our families and our communities deserve our very best. Canopy has been designated a Great Place to Work® for the fourth consecutive year, and is one of only eight companies in Mississippi to qualify for this certification in 2023-2024. Canopy's employees are charged with building a healthy work culture within their teams, that focus on trust, and the collective goal of helping kids thrive and families to overcome extraordinary challenges. The Revenue Cycle Analyst is responsible for both commercial insurance and Medicaid claim processing for multiple programs, the appeal process for denied claims, A/R tracking, collections, and accuracy of statements. The ideal candidate preferably has experience working with multiple payer sources, including Medicaid and commercial insurances, in all aspects of the billing and collections process. The Revenue Cycle Analyst will appropriately respond to client and payer inquiries relative to claims submitted and client accounts. The Revenue Cycle Analyst will keep the Billing Manager and Revenue Cycle Manager abreast of payer trends and issues negatively impacting timely and accurate reimbursement. All tasks must be performed in a timely and precise manner in accordance with government rules and regulations, including Medicaid, and organizational practices, policies, and procedures. The Revenue Cycle Analyst must collaborate with the Revenue Cycle team to improve billing and collections processes.

Responsibilities

• Processes and follows up on electronic claims (Medicaid and commercial payers).
• Communicates with payer reps as needed to obtain accurate and timely reimbursement.
• Works rejections and denials in a timely manner.
• Researches any payer or provider issues negatively impacting reimbursement and promptly communicates with Revenue Cycle Manager.
• Monitors charges and verifies correct payment of claims and allowable deductions.
• Follows policy and procedure in assisting with communicating and collecting client responsibility when indicated.
• Processes client statements and reviews for accuracy.
• Analyze monthly reports for issues and collaborate with revenue cycle team to resolve any issues.
• Upholds confidentiality and HIPAA compliance at all times.

Requirements

• Associate's degree with a minimum of two (2) years' medical, behavioral, or physician's private practice experience desired.
• Increased billing experience may be considered in lieu of educational requirements.
• Strong attention to detail.
• Effective communication skills.
• Strong background in resolving insurance denials and collecting accounts receivable.