Epic Resolute Hospital Billing Associate Analyst
- Review AR aging reports and work queues to identify unpaid and delayed claims.
- Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
- Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
- Document claim status details and payer-provided information
- Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
- Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
- Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
- Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
- Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to provide clear guidance to others
- 1+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
- 1+ years of foundational proficiency in Epic Resolute Hospital Billing application
- 1+ years of experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system
- Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience
- Limited immigration sponsorship may be available
Recommended Jobs
General Manager
Job Description Job Description Job Description Starting Salary depends on location and geography, more wage information is provided during the interview process. What makes a Trident Hol…
Senior Landfill Engineer
Job Description Job Description We are currently seeking a Senior Engineer to work in our Birmingham, AL office in the Waste & Recycling Division. The Waste & Recycling Division is focused on pro…
Solder
Job ID: 16796 Solderer Duties/Requirements SMT Touch-up and basic repair of PCBs Final Assembly required. Soldering knowledge and skills required Working knowledge of component identif…
Residential HVAC Lead Installer (Up to $120,000/yr!)
Job Description Job Description Description: Southern Home Services is a residential HVAC, Plumbing and Electrical company that acquires, owns, and operates businesses around the United States. …
Kitchen Supervisor | Full Time | $16.25
Job Description Job Description Kitchen Supervisor | Full-Time Pay: $16.25 negotiable based on prior experience Renaissance Montgomery Hotel & Spa at the Convention Center We are seeking a d…
Principal Software Engineer
Title: Principal Software Engineer Program Summary KBR's Missile, Aviation, and Ground Systems (MAGS) division delivers mission engineering solutions for critical U.S. Army programs, special…
Phlebotomist
This is a contract job opportunity. potential for perm Position: Phlebotomist 5341 Location: Mobile AL Schedule: 3rd shift 8pm-630am-M-F Rotate every other weekend Projected duration: 3…
Office Manager
Job Description Job Description Office Manager Pay: $18.00-21.00 Per Hour Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leadi…
Assistant Bookkeeper/ Payroll
Job Description Job Description HIRING: Assistant Bookkeeper/ PayrollAre you a Bookkeeper with Payroll experience? Are you looking for a rewarding career and a great opportunity with an establish…
Radar Engineers
This posting is for multiple opportunities ranging in years of experience. Level of opportunity, including compensation, will be matched to a candidate's experience. Looking for an opportunity to ma…