Operations Reconciliation Analyst
Operations Reconciliation Analyst
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$ 25 - 47
1 Vacancy
Job Description
Description
Summary:
This position will partner with all Nuvance Health Medical Practices to identify opportunity and support revenue recovery initiatives and process improvement.
Responsibilities:
1. Manages and analyzes front end reports to quantify and resolve front end edits
2. Serve as a subject matter expert related to charging and billing issues and assists in developing and maintaining related policies procedures and work flows
3. Performs daily reconciliation of professional charges through review of service line schedules orders completed physician documentation and associated charge line items to capture and remediate unbilled charges
4. Provides guidance communication and education regarding correct charge capture and billing processes to multiple clinical departments and facilities
5. Supports Practice Management through biweekly question and answer sessions
6. Works closely with department managers and operational leaders in addressing front end processes and work queue edits identifying process improvement opportunities
7. Works closely with Patient Accounting to ensure all billing edits and coding edits are corrected within Revenue Cycle where applicable
8. Works with Coding Departments Registration areas and Information Technology Services to ensure proper setup of new service line work queues specific to front end and billing
9. Partners with the Coding Department upon identification of unbilled surgical charges
10. Manages and remediates Suspended Charges
11. Maintains and Model Nuvance Health Values and Code of Conduct
12. Leads and participates in moderately complex projects related to revenue cycle initiatives
13. Actively participates in all Revenue Cycle related special projects as well as daily monthly and yearly reporting
14. Stays current with regulatory revisions in payment methodologies via seminars websites etc
15. Demonstrates regular reliable and predictable attendance
16. Maintain and Model Nuvance Health Foundational Values (Personal Imaginative Agile Connected)
17. Performs other duties as required.
Education: BACHELORS LVL DGRE
Other Information:
Bachelors Degree or equivalent experience
Certified Professional Coder (CPC) preferred
Five (5) years relevant experience in hospital setting clinic setting or insurance company with revenue cycle experience
Detailed oriented
Proficient in Microsoft Office specifically Excel and PowerPoint
Strong analytic aptitude
Excellent project management skills
Possesses strong interpersonal communication and presentation skills effectively presenting information to executives management providers facility groups and individuals
Understands expectations of patients payors and employees and how those expectations relate to complete timely and accurate work products
Certified Professional Coder (CPC) HFMA Certified Revenue Cycle Representative Certification (CRCR) or Certified Healthcare Financial Professional (CHFP) Certification preferred.
Working Conditions:
Manual: significant manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 1826
Department: Patient Accounting Med Practic
Exempt: Yes
Salary Range: $25.70 - $47.72 Hourly
Required Experience:
IC
Employment Type
Full Time
