Insurance Collections Specialist at Ridgeview Institute - Smyrna

JOIN OUR TEAM AS AN REVENUE CYCLE ANALYST!

Your Work Matters How will you make a difference?

The Revenue Cycle Analyst is a multi-task position that covers all the main functions of the business office, which includes the following tasks; Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments, communication is essential in this role as account resolution must occur within a timely manner.

Job Related Skills

• Understanding of third-party payor rules and regulations.
• Ability to read UB04 forms.
• Able to read and understand an EOB.
• Can take the necessary action for account resolution in accordance with established federal and state regulations.
• Can verify benefits via online portal or over the phone.
• Understand payor contracts and can verify the insurance company has paid correctly.
• Ability to identify next steps required when a claim has been denied/rejected.
• Excellent communication is needed to document accounts accurately.
• Strong organizational and communication skills
• Strong ability to prioritize and efficiently manage time
  
  

Note: The essential job functions of this position are not limited to the duties listed above.