Revenue Cycle Payor File Analyst

$40,040 - $50,960/Yr

Amedisys - Baton Rouge, LA

Full-time

Baton Rouge, LA

Ambulatory Health Care Services

About the position

As a Revenue Cycle Payor File Analyst at Amedisys, you will play a crucial role in ensuring the accuracy and efficiency of our billing processes. This position involves fulfilling requests to add or edit payor codes and service codes promptly, which is essential for maintaining the integrity of our revenue cycle. You will analyze payor code information to determine if billing is set up accurately according to the payor specifications, which is vital for minimizing claim submission errors and collection issues. In this role, you will be responsible for researching payor billing requirements and addressing any inconsistencies that could lead to errors in claim submissions. Collaboration with other departments will be key as you work to develop effective solutions for any identified claim submission errors or collection issues. Additionally, you will assist with payor performance reviews to investigate these errors and recommend process improvements based on audit reports. You will also be tasked with developing and maintaining a comprehensive knowledge base of payor information, which will be instrumental in enhancing our billing processes. Other duties may be assigned as needed, making this a dynamic and engaging position within our organization.

Responsibilities

• Fulfills requests to add or edit payor codes and service codes promptly.
• Analyzes the payor code information to determine if billing is set up accurately according to the payor specifications.
• Research payor billing requirements and challenges inconsistencies that could result in claim submission errors or collection issues.
• Works closely with other departments to develop the most effective solutions for claim submission errors or collection issues.
• Assists with payor performance reviews to investigate claim submission errors or collection issues.
• Recommends process improvements for the payor file resulting from audit reports.
• Develops and maintains a knowledge base of payor information.
• Performs other duties as assigned.

Requirements

• High school diploma or equivalent required.
• Post-secondary education or training in business or medical billing/collections preferred.
• Three + years' experience in healthcare revenue cycle support.
• Must be proficient in Microsoft Office with a focus on creating spreadsheets.
• Excellent interpersonal skills including excellent oral and written communication skills.
• Demonstrated knowledge of customer service skills when responding to questions and other inquiries from internal and external customers.

Benefits

• Full benefits package with choice of affordable PPO or HSA medical plans.
• Paid time off.
• Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
• Up to $500 in wellness rewards for completing activities during the year.
• Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
• 401(k) with a company match.
• Family support with infertility treatment coverage, adoption reimbursement, paid parental and family caregiver leave.
• Fleet vehicle program and mileage reimbursement.