REMOTE Hospital Revenue Cycle Analyst

QHR Health
Baltimore, MD
Jan 22, 2022
Jan 24, 2022
Full Time
Welcome to QHR Health!The QHR Health difference is the extraordinary combination of consulting guidance and operations experience that fulfills our mission of creating a sustainable future for healthcare organizations. QHR Health's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership. We value trust, respect, and customer focused behavior. Working at QHR Health, you will have the opportunity to work with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.QHR Health is consistently ranked among the top healthcare consulting firms in the nation and the national market leader in hospital management services. We have worked with clients of all types of healthcare organizations, in urban and non-urban settings. Our QHR Health Learning Institute provides thought leadership and training to more than 10,000 healthcare professionals and leaders each year.QHR Health's corporate headquarters is located in Brentwood, TN. For more information, go to QHR Health, we've been making local healthcare better for more than 40 years. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable, including revenue cycle management through our service line, ResolutionRCM.We're looking for talented, motivated professionals with a desire to help the 110+ independent hospitals we serve to join our team. Working at ResolutionRCM, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives and make a meaningful difference for independent hospitals, in a collegial atmosphere of professionalism and teamwork.QHR Health's corporate headquarters and ResolutionRCM are located in Brentwood, TN. For more information, visit submit application at is seeking strong revenue cycle analysts with hospital claims and collections experience.Applicants must be knowledgeable in the areas of AR follow-up/collections, appeal writing, root cause analysis and billing. The primary responsibility for this position is to expedite clean claim and rebill submissions and aggressive follow up efforts to secure payer reimbursement for our hospital clients across the nation. The ideal candidate will have a demonstrated record of accuracy and efficiency and must be proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or non-government payer sources.QualificationsHospital Billing/Collections or Medical Billing: 3+ years (Preferred)Work from Home Position Requires Reliable High Speed Internet ConnectionEssential FunctionsAccurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB/1500 claim form information and modifiers, and provider information as needed.Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits, eligibility and coverage as needed.Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.Accurately reports barriers to billing and claim reimbursement via company-defined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope.Provides precise documentation of all actions taken on accounts worked.Maintains client and/or position specific daily productivity and quality expectationsRequired Skills and ExperienceHospital Billing/Collections or Medical Billing: 3+ years (Preferred)Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.Must be detail oriented, organized, and possess the ability to apply critical thinking skills.Job TypeFull-timeScheduleMonday to FridayEducationGED/High School DiplomaExperienceHospital Billing/Collections or Medical Billing: 3+ years (Preferred)Work LocationOne locationWork RemotelyYesCOVID-19 Precaution(s)Remote interview processBenefitsMedical, Dental, and VisionPTO401kAnd More!Job Type: Full-timeBenefits:401(k)401(k) matchingDental insuranceHealth insurancePaid time offVision insuranceSchedule:8 hour shiftMonday to FridayCOVID-19 considerations:Remote interview process.Work Location: One location

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