Job Description :

• Healthcare Revenue Cycle Analyst Apply Today

  Job Description

  Duties:

  AR Ageing & Financial Trend Analysis: Identify the underlying causes of ageing spikes and develop focused liquidation strategies for outstanding claim balances by doing in-depth statistical analysis on accounts receivable ageing portfolios.

  Systemic Denial Root Cause Analysis: To establish long-term root-cause prevention procedures, compile and examine claim denial data (CARC/RARC codes, EOBs/ERAs), classifying rejection drivers across registration, credentialing, coding, and medical necessity.

  Payer Reimbursement & Contract Auditing: To find underpayments, incorrect downcoding, or unlawful claim reductions, track and audit commercial (BCBS, UHC, Aetna, Cigna) and government (Medicare, Medicaid) payer payment trends against contracted fee schedules.

  Workflow Optimisation & AR Caller Strategy: Assign AR Callers prioritised claim inventory worklists in collaboration with AR supervisors to maximise team emphasis on high-value, high-probability recovery claims that are getting close to timely filing deadlines.

   

  Focus Skills:

  Advanced RCM Analytics & AR Management Mastery: In-depth knowledge of HIPAA rules, financial KPI reporting (Days in AR, NCR, CCR, First-Pass Resolution), and strategic proficiency in US healthcare accounts receivable management.

  Complex Denial & CARC/RARC Categorisation: Outstanding capacity to map Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC), analyse large EOB/ERA dataset exports, and create cross-departmental preventive action plans.

  Comprehensive understanding of CPT, ICD-10, HCPCS codes, CCI edits, modifier usage, CMS-1500/UB-04 formats, and commercial/government medical coverage policies (LCDs/NCDs) is required for payer guidelines and coding literacy.

  Billing Software & Data Mining Capabilities: Advanced data manipulation capabilities employing clearinghouse analytics portals (Availity, Optum, Change Healthcare) in conjunction with practical expertise with major Practice Management (PM) and EHR systems (Epic, eClinicalWorks, NextGen, AdvancedMD, AthenaHealth).

   

  Apply now to become an integral part of our growing team!

  With Regards,

  HR - Maria

  88708 33430

  infohrmaria04@gmail.com