SR Revenue Cycle Analyst I

Benefits:

• HMO plus free dependents
• Group life insurance
• Annual Performance Incentive
• Annual Appraisal
• 15% night differential
• 20 Paid Time Off (PTO) per year

Summary:

1. Generate and distribute reports such as DNSP (Discharged Not Final Billed), DNFB (Discharged Not Final Billed), DNFC (Discharged Not Final Coded), and FBNE (Final Bill Not Entered) for hospital department use.

2. Prepare and monitor Cerner Suspended Charges report and Charge Reconciliation reports to ensure accurate billing.

3. Prepare and manage late charge action plans based on the Late Charges Summary report.

4. Review and resolve billing edits or errors on patient accounts before patient claims are submitted to Conifer for billing to insurance companies.

5. Resolve billing edits and charge capture issues by reviewing patient medical records or clinical documentation in the Cerner Millennium, an electronic health record (EHR) platform

6. Address urgent billing edits on Rapid Response in Conifer client portal, for initially billed or rebilled accounts that require immediate attention

7. Review requests for patient refunds in Automated Collection Environment (ACE) system and make informed decisions to approve or deny them and evaluate adjustment requests on patient accounts, authorizing or denying them based on established guidelines.

8. Collaborate with billers to post adjustments accurately for insurance and payment-related transactions.

9. Conduct patient account reviews and management to identify any discrepancies or potential billing errors and resolve any outstanding issues.

10. Prepare invoices, scan documents, assist with website payer administration, and review provider contracts, and post payments on accounts

Qualifications:

• Proficiency in generating and analyzing reports related to revenue cycle metrics, including DNSP, DNFB, DNFC, FBNE, and other business report
• Strong knowledge of hospital billing processes and reimbursement methodologies.
• Experience working with patient account and billing systems and EHR platforms.
• Exceptional communication and interpersonal skills to collaborate effectively with department directors, billing teams, and external vendors.
• Excellent problem-solving and analytical skills, with a keen eye for detail and accuracy.
• Ability to manage multiple tasks efficiently, meet deadlines, and thrive in a fast-paced environment

Working Conditions:

• Hybrid (BGC, Taguig)
• Night Shift work schedule.