Revenue Cycle Payor File Analyst - Remote

Overview

Are you looking for a rewarding career as a Revenue Cycle Payor File Analyst (RCM)? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.

Attractive pay

• $19.50 - 26.00 per hour
  
  

Enjoy Great Perks And Benefits

• A full benefits package with choice of affordable PPO or HSA medical plans.
• Paid time off.
• Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
• Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa/massage/salon services, gym memberships, fitness classes, sports, hobbies, pets and more.*
• Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
• 401(k) with a company match.
• Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
• Fleet vehicle program** and mileage reimbursement.
• And more.
  
  

Please note: Benefit eligibility can vary by position depending on shift status.

• To participate, you must be enrolled in an Amedisys medical plan.
• For full-time caregivers meeting certain requirements.
  
  

Don't just take it from us

"I have worked here just shy of a year and it's the best job I've ever had! We have an awesome team and administration is very supportive. I never felt so appreciated."

• Amedisys caregiver
  
  

Why Amedisys

Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve.

Responsibilities

• Fulfills requests to add or edit payor source, rate tables and service codes in a timely manner, including requests originating in the ServiceNow platform.
• Analyzes the payor source information to determine if the system is setup accurately for billing to occur per payor requirements.
• Research payor billing requirements and challenges inconsistencies that could result in claim submission errors or collection issues.
• Works closely with other departments to develop the most effective solutions for claim submission errors or collection issues.
• Assists with payor performance reviews to investigate claim submission errors or collection issues.
• Recommends process improvements for the payor file resulting from audit reports.
• Develops and maintains knowledge base of payor information and system functionality.
• Serves as general support for paid versus expected within the ancillary services department.
• Reviews paid versus expected data as assigned to identify claims not reimbursed as expected as well as the root cause.
• Tracks and resolves issues related to trended reimbursement.
• Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.
• Performs other related duties as assigned.
  
  

Knowledge, Skills & Abilities

• Knowledge of Home Health and Hospice billing and collections.
• Excellent interpersonal skills including excellent verbal and written communication skills.
• Demonstrated research and analytical skills.
• Requires minimal supervision and is self-directed.
• Completes work with accuracy and within expected time frames.
  
  

Qualifications

• High school diploma or equivalent required.
• Three (3 ) years' experience in healthcare revenue cycle support
• Must be proficient in Microsoft Office with a focus on creating spreadsheets.
• Strong data entry and ability to type 45-50 WPM with a high level of accuracy
• Excellent interpersonal skills including excellent oral and written communication skills.
• Demonstrated knowledge of customer service skills when responding to questions and other inquiries from internal and external customers.
  
  

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.