Analyst RCM Accts Receivable

Envision Healthcare Conshohocken , PA 19428

Posted 2 months ago

Overview

Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We have a great opportunity for an RCM Account Receivable Analyst at RTI in Conshohocken. The ideal candidate will conduct comprehensive review and analysis of insurance denials and serve as a conduit for issue identification and process improvement consulting.

This is a great opportunity for the right candidate!

Responsibilities

  • Perform analytical reviews of Tableau reports to identify trends and individual user analysis

  • Conduct Payer research to resolve ongoing/repetitive denials that have gone unresolved

  • Serve as the main point of contact for all Probate related accounts and issues

  • Provide direct weekly feed back to our Probate vendor and reconcile any disputes

  • Identify denials/payers/accounts that are impacted by any change in logic

  • Serve as business unit representative to perform system testing when system logic changes are deployed

  • Perform follow through evaluation post system logic change deployments

  • Participate in weekly management team meetings

  • Other duties as assigned

  • Reads and abides by the company's code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs

  • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company

  • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so

  • Support and abide by the values of the company

Qualifications

  • Strong analytical and critical thinking skills.

  • Demonstrated advanced knowledge with Microsoft Excel and Microsoft Office Products.

  • Five years' experience in the medical billing field.

  • Excellent knowledge of Medical Insurance terminology, including knowledge of Medicare, Medicaid and Blue Shield rules and regulations in multiple States.

  • Ability to reach problem resolution.

  • Approach Probate accounts with empathy and compassion

  • Organized, detail oriented with excellent follow through abilities. Can handle and prioritize multiple tasks. Ability to work independently

  • Effective oral, written, and interpersonal communication skills.

Education/Experience

  • High School diploma or general education degree (GED) required. Bachelor's degree preferred in Business or Healthcare related field. Must pass new-hire and department specific testing.
  • A minimum of 5 years' experience in identifying and researching complex denial issues for account resolution. Must have the ability to identify trends for non- payments and other databases issues (i.e. enrollment and payer compliance).

Computer Skills

To perform this job successfully, an individual should have knowledge of

  • Microsoft Office Skills

  • Excel

  • Tableau experince is a plus

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a competitive salary and a comprehensive benefits package.

Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Physician Services is an Equal Opportunity Employer.

#CB

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