Overview
Are you looking to take the next step in your career? 'Staff America', a trusted staffing and outsourcing partner, is currently seeking talented professionals on behalf of our US based client Rahma Home care agency. We specialize in connecting skilled candidates with top employers who value growth, innovation, and teamwork. Staff America are currently hiring a Financial Analyst for US based client Rahma home care agency.
Work hours: Mostly 5 days, occasionally 6 days. 8.5 hours shift
Job Summary
We are seeking a detail-oriented financial analyst/Health Care Administrator/Claim Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and managing claims related to home health care services and day-to-day administrative work. This role requires strong Analytical skills, attention to detail, and a solid understanding of Microsoft Office suite.
Responsibilities
- Review and process claims for home health care services, ensuring accuracy and compliance with company policies and regulations.
- Verify patient eligibility and benefits for services rendered.
- Collaborate with healthcare providers to obtain necessary documentation for claims processing.
- Resolve discrepancies or denials by communicating with parents, providers, and insurance companies.
- Maintain accurate records of claims, payments, and correspondence.
- Stay updated on industry regulations and changes in insurance policies affecting claims processing.
- Assist in training and supporting new team members as needed.
- Generate and analyze reports related to claims processing metrics.
- Conduct e-fax, email, call hospital/Doctor office and constantly communicate with the payment
- Provides analysis of financial data and performance measures, trend analysis and monitoring of key financial metrics. Prepares reports for CEO and senior management, including recurring reports and ad hoc reports.
- Partners with the Director of Reimbursement and Director of Revenue Cycle Management to conduct price and rate analysis based on costs and assist in the development of sliding fee scale.
- Provides analysis and information as necessary to support the external audit. Obtains the necessary supporting documentation and prepares analysis as requested by external auditors.
- Participates and/or leads special projects as needed.
- Works with business management and clinical teams to assist in the development of new procedures or processes to improve performance.
- Assist with EMR (electronic medical record) Inquiries and Medical Record Keeping
- Assist to Build and Maintain a Working Office Environment
- All other duties as assigned.
- Develops tools and analytics to perform various types of financial analysis
Additional Responsibilities
- Performs other duties as assigned or requested.
- Conforms to all applicable Agency policies and procedures.
- Participate actively in continuing education and in-services.
- Maintains confidentiality of patient information and business trade practices.
- Assumes accountability for reporting incidents and complaints according to Agency policy.
Information Management
- Treats all information and data within the scope of the position with appropriate confidentiality and security.
Risk Management
- Cooperates fully in all risk management activities and investigations.
- Keeps abreast of changes in healthcare law.
- Maintains Agency/program compliance with local, state, and federal laws as well as accreditation standards.