Revenue Cycle Analyst

Job Description

Job Description

SUMMARY

This position is primarily responsible for reviewing patient services in the Practice Management System (EPIC). The employee is responsible for charge review, claim edit, remit processing, payment entry and working accounts receivable for NACC Medical, Counseling and Dental clinics. The employee is also responsible for sorting and filing paperwork, handling insurance claims, and performing collections duties by performing the following duties.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Core duties and responsibilities include the following. Other duties may be assigned.

Working charge/payment/denial workques, billing and reimbursement operations, with the assistance of other NACC staff, in compliance with established policies, regulations, procedures and standards.

Responsible for maintaining the accounts receivable within internal policy requirements and working the aged accounts as required.

Prepares and/or maintains reports on billing and reimbursement activities, as requested by the Billing Manager.

Performs other job-related duties as assigned.

SUPERVISORY RESPONSIBILITIES:

This job has no supervisory responsibilities.

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COMPETENCIES:

To perform the job successfully, an individual should demonstrate the following competencies:

Interpersonal

• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Teamwork - Balances team and individual responsibilities; Gives and welcomes feedback; Supports everyone's efforts to succeed.

Self-Management

• Judgment - Exhibits sound and accurate judgment; Makes timely decisions.
• Motivation - Sets and achieves challenging goals.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions.
• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity - Meets productivity standards.
• Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Dependability - Follows instructions, responds to management direction; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Initiative - Asks for and offers help when needed.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

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EDUCATION AND/OR EXPERIENCE:

Associate's degree (A. A.) or equivalent from a two-year college or technical school; or six months to one year related experience and/or training; or an equivalent combination of education and experience.

LANGUAGE SKILLS:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of this organization.

MATHEMATICAL SKILLS:

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

REASONING ABILITY:

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

COMPUTER SKILLS:

To perform this job successfully, an individual should have knowledge of: EPIC; Spreadsheet Software (Excel); Electronic Mail Software (Outlook); and Teams.

CERTIFICATES, LICENSES, REGISTRATIONS:

• Medical Coding Certificate, preferred.
• Medical Billing Certificate, preferred.

OTHER QUALIFICATIONS:

• Knowledge and understanding of billing concepts, practices and procedures.
• Demonstrated experience related to responsibilities specified.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.

Specific vision abilities required by this job include close vision.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

ACKNOWLEDGMENT:

I have read and acknowledge receipt of this job description and agree to perform the responsibilities as described above. I understand this job description is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be an exhaustive list of all responsibilities, duties and skills required of employees who hold this position.