Openings >> Revenue Cycle Analyst Full Time
Revenue Cycle Analyst Full Time
Summary
Title:Revenue Cycle Analyst Full Time
ID:1861
Department:PRD
Location:Main Clinic--Columbus, GA
Description
The Hughston Clinic, The Hughston Foundation, The Hughston Surgical Center, Hughston Clinic Orthopaedics, and Jack Hughston Memorial Hospital participate in E-Verify. This company is an equal opportunity employer that recruits and hires qualified candidates without regard to race, religion, color, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or protected veteran status. This company is a VEVRAA Federal Contractor.


Position Goals: Accurately enters, organizes and codes patient medical information in to HSC computer systems.  These tasks are completed to ensure security and easy retrieval of medical data for billing purposes.

Position Responsibilities:
  • Employee scheduling and coverage backup during employee shortages.
  • Perform registration functions as needed.
  • Monitors record completion activities, tracks and reports delinquencies.
  • Oversees ROI functions and ensures compliance with HIPAA regulations.
  • Enter charges and assigns codes within 24 hours of procedure performance.
  • Generate timely claims to third party payers and/or patients.
  • Research and write up refunds for overpayments as needed.
  • Assists patients with questions/payments on their accounts as necessary/track balances.
  • Monitor claims for accuracy in payment received from insurance companies.
  • Write timely appeals to insurance companies where necessary, monitor this process accordingly.
  • Will make payment arrangements with patients and collect on delinquent accounts.
  • Prepares monthly reports related to HIM and Revenue Cycle activities.
  • Performs other duties as assigned by Management. 
Experience: Three years insurance claims experience (preferably in ASC) Required.  Working knowledge of CPT, ICD-10 terminology and medical databases.  Coding certification preferred.
Education: Requires high school diploma or equivalent.
Special Qualifications: Must be able to work independently
 
This opening is closed and is no longer accepting applications
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