Revenue Cycle Analyst: Maximize Reimbursements & Resolve Denials

TRILOGY BEHAVIORAL HEALTHCARE; Skokie (IL); On-site; USD 39,000 - 44,000; Full time

Benefits offered by this job

Free Virtual Primary Care

Free Virtual Urgent Care

Free Mental Health Counseling

Maternity/Paternity leave

Medical Insurance

Vision Insurance

Life Insurance

Disability (Long & Short-Term)

Pet Insurance

FSA

EAP

403(b) Retirement Plan with Employer/

Job summary

The Revenue Cycle Analyst at Trilogy Behavioral HealthCare in Skokie, IL analyzes Medicaid, MCO, private and commercial insurance revenue to maximize reimbursements and reduce denials. You will identify issues in the revenue cycle and develop action plans to resolve them.

You will collaborate with the billing team, conduct audits, and provide training to staff on billing policies and claims processing to improve efficiency and accuracy.

Qualifications

• Minimum two to four years of experience in billing, revenue cycle management, denial management, etc.
• Ability to work independently with minimal supervision.
• Exceptional time management skills; ability to meet deadlines and prioritize assignments for optimal efficiency.
• Superior organizational and communication skills
• Advanced computer skills in Microsoft Office applications, and ability to learn new computer systems

Responsibilities

• Identify revenue cycle problems and implement timely solutions for improvement to maximize billing revenue.
• Evaluate and elevate eligibility, authorization, billing, and claims processing inaccuracies to implement upstream solutions
• Ensure that all changes, payments, and adjustments for DHS, Medicare, Medicaid/DPA, MCO, private insurance, and other billing (and re-billing) is recorded, processed, and submitted in a timely and efficient manner.
• Handle all denied claims, manage adjustments, and follow-up to maximize billing revenue in accordance with payor rules. Collect and analyze payer data to determine denial and underpayment trends for further review.
• Execute data mining and in-depth accounts receivable analysis. Generate and distribute reports as needed.
• Conduct regular billing audits to identify areas of missed revenue and make recommendations based on audit results
• Follow-up with insurance companies to resolve revenue cycle issues. Interface with clearinghouses to obtain data for analyzing and streamlining the revenue cycle process.
• Provide training to employees on the revenue cycle process.
• Collaborate with the Accounting department regarding policies and procedures related to collection and processing of client information, filing insurance claims, and posting payments.
• Perform other related duties and/or projects as assigned

Skills

Billing

Revenue cycle management

Denial management

Time management

Organizational skills

Communication skills

Independence

Learning new systems

Microsoft Office

Tools

Microsoft Office

Clearinghouses

Job description

The Revenue Cycle Analyst at Trilogy Behavioral HealthCare in Skokie, IL analyzes Medicaid, MCO, private and commercial insurance revenue to maximize reimbursements and reduce denials. You will identify issues in the revenue cycle and develop action plans to resolve them.

You will collaborate with the billing team, conduct audits, and provide training to staff on billing policies and claims processing to improve efficiency and accuracy.