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CorroHealth

CorroHealth is a leader in clinically led healthcare analytics, offering solutions that streamline operations, enhance revenue integrity, and improve patient ca

Revenue Analyst 2, Zero Balance

Location

United States

Posted

2 days ago

Salary

0

Seniority

Senior

Associate Degree3 yrs expEnglish

Job Description

Revenue Analyst 2, Zero Balance

CorroHealth

• The Revenue Analyst role consists of thorough and extensive analyzation and investigative assessment of claims that have been identified as paid incorrectly. • Through phone and written correspondence with insurance companies, the Revenue Analyst initiates pursuit of incorrectly paid medical insurance claims. • Independently, consider business needs and adjust workflow accordingly when reviewing and researching available accounts for potential payer underpayments to pursue. • Analyze and ascertain pertinent information from multiple sources (e.g., hospital systems, medical records, claims) to identify true causality for underpayments. • Recognize payor and client trends and perform research to maximize profitability. • Consider account profitability and cost analysis when reviewing for potential rebills. • Analyze payer contracts for revenue risks when business needs arise. • Facilitate and communicate results of rebills with auditors. • Mentor and assist with onboarding of incoming Revenue Analysts. • Coordinate and lead training for incoming team members. • Facilitate and or annotate internal team meetings. • Collaborate with manager and project leads to perform client work as assigned. • Manage multiple internal projects while adhering to deadlines and weekly goals. • Other duties as assigned.

Job Requirements

  • Associate’s Degree or 3-5 years relevant work experience preferred
  • Knowledge of Revenue Cycle industry preferred
  • Experience reviewing hospital claims and payor contracts
  • Professional experience communicating with insurance companies verbally and writing complex appeals for contractual underpayments
  • Comprehension of key risk areas of contract reimbursement methodologies
  • Ability to conduct research via multiple channels (internet, client and payer systems, and internal resources)
  • Ability to navigate Hospital’s optical storage and patient accounting systems
  • Critical thinking and decision-making skills
  • Must be able multi-task and remain diligent with workload/multi-project while maintaining strong attention to detail
  • Excellent written and verbal communication skills
  • Strong computer skills, including OneNote, Word, Excel (advanced formulas, pivot tables)
  • Ability to adapt to mentee learning style and adjust training accordingly
  • Strong independent work ethic while also collaborating with a team to achieve goals

Benefits

  • Professional development opportunities

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