Effectively manages hospital accounts aging receivable and SISM accounts to ensure timely and effective claim resolution. Review billing and collection trends and issues that delay processes in claims resolution and compliance. Handle both internal and external relationships with payers, SSC, patients and hospital departments. Effectively maintain open line of communication between departments and SSC. Maintain company goals for AR via POS and Aging Receivable. Assists with CDM review and maintenance. Audits records to insure appropriate charging based on documentation.
Revenue integrity Analyst experience preferred. Working knowledge of medical records documentation, CPT coding, HCPCS coding, DRG’s, and billing compliance program rules. Good organizational skills, proficient with personal computers and specialized software packages. Experience with denials management.
Three years experience in health care related field
BA or BS in Accounting or degree in related field