Hospital Account Resolution Specialist

Who You Are

You are interested in working with a dynamic healthcare team where you’ll play a vital role in optimizing reimbursement for hospitals and health systems. You are a savvy individual with a passion for providing high quality service and empowering client stakeholders with knowledge they need to improve their revenue cycle performance. You have a strong desire to exercise your research skills, a high attention to detail, and a drive to develop subject matter expertise. You are driven by continuous improvement and creating value for teams, organizations, and communities in a team-based and service-oriented environment.

Who We Are

Climb Healthcare is a boutique consulting firm dedicated to helping hospitals and health systems increase their revenue while improving revenue cycle performance. We perform root cause analyses using claims and payment data to identify revenue cycle and payer compliance issues that cause payment delays and revenue leakage.  We provide high-value insight and help clients implement actionable recommendations that specifically address the underlying issues we identify. We are seeking a Revenue Cycle Analyst to join our mission-driven team, full-time (Monday-Friday). This is a fully remote position.

The Role

The Revenue Cycle Analyst position performs revenue cycle activities that improve the financial health of hospitals and health systems so they can better support the communities they serve. Areas of focus include analyzing claims data and utilizing patient accounting software and other billing tools to identify / resolve payment issues.  This position also supports revenue cycle improvements by identifying reimbursement and payer practice trends.

Primary Responsibilities :

• Apply Your Revenue Cycle Expertise (e.g., authorization, charge capture, billing, denials) to :
• Manage claims inventory by timely responding to payer inquires and requests;

Work with payers to address account resolution issues; and,

Research / Identify payment variances and root causes

• Report Findings to Inform Further Data Analysis : Track payer compliance trends which will provide insights to enhance reimbursement and revenue cycle performance
• Support A / R Related Initiatives : Leverage knowledge of payer claims processing procedures and policies to address non-compliant payer behavior

Other Responsibilities :

• Collaborate with teams and management on client deliverables aimed at streamlining revenue cycle processes and supporting the implementation of innovative hospital solutions
• Develop and maintain project documentation of client processes related to Climb’s project work
• Stay abreast of industry regulations, confirming adherence to compliance standards and contributing to the development and implementation of compliance policies
• Assist with new staff on-boarding and training, as needed
• Perform other tasks and special projects, as assigned

Qualifications :

• At least two (2) years of recent experience in hospital claims follow-up and denials management and / or account resolution
• Knowledge of hospital reimbursement, health care payers, and regulatory policies and systems
• Broad understanding of common insurance and payer types
• Strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences including peers, leadership, insurance payers, clinical and non-clinical staff
• Strong analytical skills necessary to interpret and calculate expected reimbursement information from EOBs and payer agreements
• Advanced knowledge in Microsoft Office (Excel, PowerPoint, Word, Outlook) and revenue cycle / patient accounting software
• Demonstrated production of high-quality deliverables
• Able to work independently, work with multiple projects, and maintain a high degree of work ethic, integrity and professionalism
• Maintain and follow all HIPAA and confidentiality requirements

Preferred Qualifications :

• Bachelor's degree in finance, accounting, business, healthcare administration or a similar field of study
• Five (5) or more years of experience working in back-end revenue cycle
• Direct experience with denials or contract management or five years of significant equivalent work experience
• EPIC / EMR or other advanced clinical system software experience or certification
• Certified Revenue Cycle Representative (CRCR)

Join us in reshaping the future of healthcare revenue cycle management and be part of a team that values innovation, collaboration, and your commitment to making a positive impact! Apply now and thrive in a career that aligns with your passion for healthcare.

Please note : This position is restricted to candidates based in the U.S. and as such, only applicants within the U.S. will be considered for this role.

This is a remote position.

Salary : $45,000 - $65,000