Revenue Cycle Analyst

Summary

The Revenue Cycle Analyst is responsible for posting payments and reconciliation of payment posting to patient accounts and various general ledger accounts.

Location: Smyrna 

Schedule: Monday - Friday

Job Type: Full Time

Essential Duties and Responsibilities

• Ensures all revenue is posted to the accounts receivable and balanced to cash received.
• Identifies, documents and communicates best practices to simplify and standardize the cash and clearing reconciliation process.
• Serve as point of contact for complex and escalated issues.
• Maintain all EFT/ERA enrollments.
• Will receive daily deposit of insurance checks, and forward to appropriate parties for information. 
• Provides training to posting staff on cash and clearing account reconciliations
• Will be responsible for ensuring that lock-box is opened and sorted in a timely manner.
• Analyzes, and distributes daily, weekly, and monthly, financial management reports.
• Prepares notice of those items that cannot be applied to a specific invoice; researches and supplies back-up information. 
• Assists in month-end close process including but not limited to preparing detailed account analysis, preparing reports necessary,  ensuring data is properly recorded to provide accurate, accurate financial reporting.
• Prepares necessary adjusting entries for reimbursement variances, ensuring appropriate records are maintained for cost reporting.
• Researches any cash application problems, and takes the appropriate corrective action. assuring data is accurate and submitted in accordance with processing deadlines.
• Post all payments and write-offs to the appropriate accounts, maintaining the highest of quality for each transaction processed.
• Determine denial codes to be used for clear communication of the reason for balance due on the statement to patients.
• Contact insurance companies on questionable EOB’s.
• Verify the payment received is paid per the specific payer contract.
• Ensures the posting of payments are done in a 48 hours turnaround time.
• Complete additional special projects and reports as needed.
• Participate in regular calls with the Director of Revenue Cycle and Manager.

Required Knowledge, Skills, and Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

• High school diploma or general education degree (GED) required.
• Associate degree in Accounting preferred.  
• Minimum three years in medical office setting.
• Prior experience using electronic scheduling and electronic medical software is a plus.
• Knowledge of ICD-10, CPT, HCPCS and the use of modifiers preferred.
• Knowledge of physician billing and/or collections.
• Typing speed 55 wpm and the ability to use a calculator.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; reach with hands and arms; and to talk or hear.  The employee is occasionally required to stand, walk; and stoop, kneel, crouch, or crawl. These duties could require the ability to lift files, open file cabinets and bend or stand as necessary. The employee must occasionally lift and/or move up to 30 pounds.  The employee will operate a keyboard, calculator, telephone, copy machine, computer and other office equipment as necessary. Specific vision abilities required by this job include close vision.
It is necessary to view and type on computer screens for long periods of time and to work in an environment which can be very stressful.
May be required to travel to one or more satellite locations.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. It is an open and potentially distracting office environment. It could require having to handle stressful situations including confrontation.

About Peachtree Orthopedics

Founded in 1953, Peachtree Orthopedics is the oldest orthopedic practice in the southeast. We’ve grown over the years, but our high standards of excellence and commitment to quality personalized care have remained the same. Peachtree Orthopedics has been named an AJC Top Workplace for the 4th year in a row! We offer excellent growth and advancement opportunities, foster a compassionate and fun culture, and seek employees who want the same.