Medicare Analyst

Responsibilities Document all processes and procedures and develop policies Perform data analytics on claims and revenue and develop visually-appealling reports Enhance claims management accuracy and compliance Review and assess the current Medicare Part A & B, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement Implement processes to improve billing and claiming with the transition to State staff Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claim to achieve optimal revenue Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs Identify additional revenue maximization opportunities for IDHS Develop project reports and present data to the State Candidate Requirements U.S. Citizenship Bachelor's degree 5 years of experience with Medicare claims processing systems and revenue maximization services Knowledge of automation in healthcare claims Proficient in Project Management and Business Analysis practices, principles, and tools Excellent written and verbal communication skills We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal‑opportunity, drug‑free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply. #J-18808-Ljbffr barrowwise