Revenue Cycle Management Analyst (healthcare billing)

Description

Revenue Cycle Management (RCM) Analyst

We are IEP MSO Management, LLC, a local, physician-owned multi-specialty practice group that is deeply ingrained in the community. With a commitment to excellence in patient care and a dedication to fostering strong connections with our employees, communities, and partners, we pride ourselves on delivering high-quality healthcare services across multiple specialties and in multiple settings.

Position Summary - This is a fully in-person position in Farmington Hills, MI.
This position is an integral part of the Revenue Cycle Management team to help ensure proper and timely provider-payor enrollment and credentialing, claim submission, and reimbursement as it relates to Emergency, Observation, Inpatient and Nursing Facility Medicine, Urgent Care.

Responsibilities/Essential Functions

• Supports the Revenue Cycle Director and CFO in revenue activities.
• Ensures proper and timely payor enrollment and credentialing for each new provider across all service lines.  Monitors progress of enrollment and credentialing process and communicate progress to RCM Director
• Supports the development and execution of Revenue Cycle Process improvement initiatives aimed at optimizing the RCM process to enhance billings and collections.
• Uses data and analytics to measure and improve the efficiency and effectiveness of the revenue cycle.
• Delivers insightful and meaningful feedback to the Director with a focus on opportunities for revenue cycle improvement 
• Assists in identifying/addressing/monitoring feed issues
• Assists in proper and timely billing/coding education to new providers and disseminate any update to current staff
• Roster maintenance with billing companies
  • On/Off boarding, accurate site(s), updates to status, etc.
• Track collection of documents required to start billing credentialing/enrollment
  • Dissemination of starter packet and monitoring outstanding items until completed packet has been provided to billing company
• Begin and monitor progress of PECOS connections
• Assist in CAQH portal upkeep and communication/reminders to providers
• Tracking/documenting carrier mailings/communications
  • Requests
  • Denials/low reimbursement - identifying trends
• Work in collaboration with the onboarding team for the tracking of outstanding items/requests/issues with billing companies across various topics
• Assist in timely completion of requests from Department chairs 
• Monitor/track/address/disseminate Unable to code and Charts Not received reports
  • Across all service lines
• Composition/Tracking/Reconciliation of internal daily/monthly/annual admits/visits across all service lines and assist in communication with billing companies regarding discrepancies
  • Including Rapid response collection/tracking and dissemination
• Billing company user EMR access (apply, track and ensure timely renewal)
• Assist in application/maintenance of clearinghouses and EFT/EDI processes
• Assist in future project management (i.e., new site(s), billing company, subsidiary, etc.)
• Performs other duties as assigned.

The Ideal Candidate

• Is comfortable working with both administrative and clinical personnel to optimize the entire Health Care Revenue Cycle Process.
• Has strong problem-solving skills and  loves challenges.
• Is a critical thinker.
• Is friendly, approachable, and receptive to feedback.

Benefits:

• $48k - $53k (DOQ)
• Excellent benefit package
  • Medical, dental, vision, life insurance, STD, LTD, HSA, FSA, and 401(k).
  • Bonus eligibility (subject to review by 

About Us

IEP was founded with the purpose of taking care of the patient by taking care of the provider.  Since 1997, we’ve been meeting the healthcare needs of our communities first by providing emergency medicine care, then expanding into hospital medicine, observation medicine, urgent care medicine and post-acute care services.  We are a provider-focused organization, as 95% of our employees provide direct patient care in multiple locations throughout SE and Mid Michigan.  We live by our values of Compassion, Integrity, Commitment, Professional Excellence, Service Excellence and Clinical Excellence. 

Corporate office hours: Monday - Friday 8:30 AM - 5 PM

Requirements

 Qualifications Education

• High School Equivalent / GED required
• Bachelor's Degree strongly preferred

Work Experience

• 2 years of experience in a healthcare setting or related experience required.
• Proficiency in navigating electronic health records.
• Experience with Revenue Cycle Management metrics and analyzing/understanding trends.
• Experience with claim submissions, rejections and denials. Provider enrollment and credentialing is strongly preferred. 
• Proficient in navigating payer portals.

 Knowledge, Skills, & Abilities

• Basic knowledge of medical billing terminology. 
• Detail-oriented and organized, with good analytical and problem solving ability. 
• Notable client service, communication, and relationship building skills.
• Ability to function independently and as a team player in a fast-paced environment. 
• Must have strong written and verbal communication skills. 
• Demonstrated ability to use PCs, Google Workspace Suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Particularly spreadsheets.

Required For All Positions

• Must be able to work in-person at IEP corporate offices in Farmington Hills, MI 
• Complies with company policies and standards.
• Abides by all requirements to safely and securely maintain Protected Health Information (PHI).

Salary : $48,000 - $53,000