Openings >> HSC Revenue Cycle Analyst Full Time
HSC Revenue Cycle Analyst Full Time
Summary
Title:HSC Revenue Cycle Analyst Full Time
ID:2184
Department:Surgical Center
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 Goal: 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.

  • 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.
  • 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.
  • Prepares monthly reports related to HIM and Revenue Cycle activities.
  • Performs other duties as assigned by Management.
Experience: Minimum 2 years-experience of medical collections experience that demonstrates the following: insurance/claims processing, posting, modifier use, understanding of EOB’s, navigation of payor sites, HCFA\UB, determining eligibility/co-insurance/ copayments and deductibles. Must have knowledge of front end (patient payments, demographic to file the claim) and back office billing office practices (the filing and follow up of the claim).Physician practice, ambulatory surgical or hospital setting preferred.
Education: High School Diploma or equivalent required.
Special Qualifications: Must be able to work independently. 
 
 
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