Revenue Cycle Analyst- Remote

Job Purpose
The Revenue Cycle Systems Analyst is responsible for the build, implementation, testing & maintenance of practice management (PM) software systems. Additionally, the Revenue Cycle Analyst is responsible for training and timely batch imports for those clients where this role is needed. Support internal business needs and be a liaison with external teams when necessary.

Duties and Responsibilities
• Executing Application: Design and Build. Maintains all PM file maintenance tables including but not limited to new provider updates, location maintenance, insurance carrier maintenance, electronic remittance logic, work queue maintenance and clearinghouse updates.
• Application Support: Providing go-live support for users new to the application, including functionality. Providing help desk support through go-live and post go-live
• Works with the clearinghouse(s) on system setup & updates such as secondary claim processing & electronic worker’s comp submission (P2P)
• Provide oversight, QA and feedback, both internally and to the client, to system build and payer specific holds, including communication to operations on the status of new payers and holds
• Technical and functional support for client and internal team members and coordinate with PM vendors’ support to resolve all system issues. Maintaining and closing support tickets. Logging decisions and issues/risks in tracker.
• Test updates to practice management system and other software(s)
• Assist with hard close of the system including running system reconciliation reports & coordinating with the Data Team to ensure files are reconciled
• Explain technical information in clear terms to non-technical individuals to promote better understanding
• Monitor system performance and advises management of any issues
• Participate and obtain any needed client certification/credentialing to support training of internal/external teams on processes and client PM systems where required by client
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Qualifications
• Bachelor’s degree preferred or equivalent years of relevant work experience or Associates degree or three (3) or more years of relevant work experience
• Three (3) years relevant experience in a health care setting
• Minimum of one (1) year relevant experience
• for knowledge in Allscripts Practice Management Software, clearinghouse and revenue cycle workflows. EPIC, Cerner preferred
• Physician Billing Systems knowledge and experience required
• Knowledge of HL7, DFT, ADT and Flat file feeds preferred
• Demonstrates interested in supporting the development and build of the application
Working Conditions
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Originally posted on Himalayas

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