"Alerted.org

Salary Range: $22.08/h - $30.44/h

Pay rates are determined based on experience and internal equity.

Position Summary: • The Revenue Cycle Analyst is responsible for auditing and evaluating the revenue cycle processes. • Will communicate effectively with all levels of staff, take initiative to work proactively and present issues with solutions to the respective staff and management. • Prepare analytic reports for review. • Provides feedback to Manager, Director and Pharmacy Director of reimbursement situations that may result in risk management action. • Must work well under stress or tight deadlines. • Must work well with supervisors, co-workers, patients/residents, family members and visitors. District Responsibility: • Support of the District Mission and Values • Demonstrate Respect, Professionalism and Courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”. • Constantly use C-I-CARE principles when communicating with others. • Performance Improvement Activities • Professional Development Position Duties/Responsibility: • Review and analyze exception reports for corrections and improvements. • Review and analyze denials on a daily basis. • Collaborates with departments to ensure charges are posted correctly and accurately. • Identify error trends from data obtained through claims review and denials. • Prepare reports and analyze findings for staff and management. • Perform detailed analysis of cash posting variances and ensure all payment files are processed daily. • Prepare reports for audits and management requests. • Acts as an internal consultant along with the Revenue Cycle Analyst for all issues related to the Revenue Cycle software systems used by the Revenue Cycle staff. • Ensures billing accuracy, maintaining continuous compliance with billing guidelines set forth by CMS and Medi-Cal. • All Billing and Oncology claim follow-up work for both Facility and Professional claims Essential Functions: • Ability to use computer keyboard, telephone and insurance eligibility determination equipment • The ability to be supervised. • The ability to work as a team member. • The ability to have positive personal interactions with staff, patients/residents and visitors. Position Qualifications: • Education: High School diploma or equivalent. • Experience: 5 years of previous experience with Oncology Claims processing for office/hospital experience preferred. • Certifications: None necessary. • Skills/Ability: Excellent verbal skills required. Exhibits the ability to organize multiple assignments and follow through with accuracy. Exercises good judgment under stress. Demonstrate maturity, initiative, emotional stability, tact and poise. • LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.