Analyst of Revenue Cycle Management - (Remote)

Freddie Mac; United States; Remote; USD 50,000 - 80,000; Full time

Job summary

Join a leading healthcare company as an Analyst of Revenue Cycle Management, where you will drive accuracy in electronic claims submissions and optimize the revenue cycle. This full-time role emphasizes analytical problem-solving and effective communication, contributing significantly to patient care. You will work within a dedicated team, gain valuable experience, and enjoy a range of company-sponsored benefits and important work-life balance perks.

Benefits

Health insurance

Dental insurance

Vision insurance

Short-term disability

Long-term disability coverage

401(k) retirement plan

Paid time off

Birthday Off

Parental Leave

Wellness benefits

Qualifications

• Minimum 2 years' experience in infusion therapy or related healthcare services.
• Experience working with healthcare insurance.
• Positive attitude and collaborative team spirit.

Responsibilities

• Oversees electronic claims submissions and insurance settings.
• Troubleshoots submission issues and manages user access.
• Conducts report analyses to identify revenue discrepancies.

Skills

Detail-oriented

Analytical thinking

Problem-solving

Customer service

Education

High school diploma or equivalent

Job description

Join FlexCare as an Analyst of Revenue Cycle Management (RCM)

FLSA Status: Non-Exempt
Reports To: Manager of Revenue Cycle Management

Are you detail-driven and thrive on solving data puzzles? FlexCare is seeking an RCM Analyst to take charge of our electronic claims submissions, insurance settings, and revenue accuracy. If you're ready to support a high-impact healthcare team with your analytical expertise-read on!

The Analyst of Revenue Cycle Management is responsible for overseeing electronic data interchange (EDI) applications, managing electronic submissions to payors, and ensuring accurate and timely revenue recognition. This role includes troubleshooting submission issues, managing user and portal access, maintaining insurance settings and fee schedules, and analyzing reports to identify and resolve revenue discrepancies. The Analyst also supports system access for new hires and terminations and plays a key role in optimizing the revenue cycle process.

To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform essential functions.

Key Responsibilities:

• Completes all EDI applications with payors, including electronic submissions, Electronic Remittance Notices (ERNs), and Electronic Funds Transfer (EFT) payments.
• Oversees and maintains all electronic submissions through the clearing house, troubleshooting rejections to ensure clean claim submissions.
• Manages payor portal access by adding and removing users for new hires and terminations.
• Configures and maintains insurance settings between WeInfuse and R2 systems.
• Updates and maintains fee schedules for new contracts and insurance plans to ensure accurate revenue recording.
• Conducts weekly and monthly report analyses to identify revenue recognition gaps and address root cause issues.
• Analyze claims to review overpayments and underpayments against fee schedules and work with department leaders to resolve issues.
• Administers and manages user access for all Revenue Cycle Management and Intake systems, ensuring proper access for new hires and terminations.
• Identify opportunities for process improvement to enhance claim efficiency and accuracy.
• Performs additional duties as assigned.

Competency Statements:

• Takes personal responsibility for the quality and timeliness of work and achieves results with little oversight.
• Diligently attends details and pursues quality in accomplishing tasks.
• Builds and maintains customer satisfaction with the products and services offered by the organization; provides excellent service to internal and external customers.
• Understands and learns from what others say.
• Identifies, collects, and organizes data for analysis and decision-making.
• Adapts to and working with a variety of situations, individuals, and groups. Openness to different and new ways of doing things; willingness to modify one's preferred way of doing things.

Position Type and Expected Hours of Work

This is a full-time position with typical working hours of Monday through Friday, 8:00 a.m. to 4:30 p.m CST. Hours, and work shifts may change in accordance with business needs.

You Bring:
• Education: High school diploma or equivalent
• Experience:

• Minimum 2 years' experience in infusion therapy or related healthcare services.
• Experience working with healthcare insurance and Customer service.
• Minimum of 1 year in current position and has demonstrated:
  • Previous willingness to help with extra tasks and co-workers without extra incentive; and those tasks completed with no disruption to normal daily work.
  • Positive, upbeat attitude with other team members and management.

Additional Eligibility Qualifications

Must be able to accomplish any and all duties with little to no assistance.

What We Offer - Full-Time Benefits/Perks:
We take care of you with company-sponsored health, dental, and vision insurance, plus short-term disability.
Long-term disability coverage, and Group Term Life insurance a financial security for you and your Family
Birthday Off - Celebrate your special day with a paid day off just for you!
Parental Leave - Paid time off for new parents to bond with their little one.
Secure your financial future with our 401(k) retirement plan.
Wellness Perks - Stay healthy and supported with our wellness benefits.

Enjoy paid time off, company holidays, and a 24-hour floating holiday to use whenever you need.

Work Environment & Physical Requirements:
This role operates in an office setting, requiring frequent standing, walking, reaching, and lifting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Join Our Team and Make Difference!
At FlexCare, we believe in empowering our employees and delivering exceptional patient care. If you're ready to take your career to new heights, apply today and be part of a dynamic, patient-focused team!

Apply today and be part of the team that keeps revenue flowing and care going!