Job description
About Assure Health
Founded by serial entrepreneurs and third time founders (with two exits), Assure Health is dedicated to improving healthcare by empowering patients and providers with people-focused, technology-enabled chronic disease management. Our programs keep patients healthy, provide the peace of mind that comes with regular clinician contact, prevent unnecessary hospitalizations, and offer better care that reduces overall costs. We’re not just a healthcare company. At Assure, we keep people healthy. Because we care.
The Role:
Assure Health is searching for a Revenue Cycle Analyst to join our clinical operations team. This individual will be responsible for analyzing, monitoring, and controlling the end-to-end billing processes. The Revenue Cycle Analyst will ensure the integrity of our initial claims’ submission, timely response to payer and vendor inquiries, and track internal performance through key indicators, dashboards, and reports.
Responsibilities:
Audit an account in its entirety for variances in company policies and areas of improvement opportunity- Generating monthly reports, analyzing the reports, and providing actionable insights/trending
- Ad-hoc reporting and analysis for management team as requested
- Work with internal team and RCM vendor to ensure appropriate charges and confirm billing accuracy for Telehealth visits and other procedures.
- Optimize billing/charge posting workflows and oversee charge posting to ensure accuracy.
- Verify/reconcile charges in external clearinghouses and other external RCM systems.
- Define policies and procedures in collaboration with RCM vendor to ensure complete compliance with regulatory agencies and insurance companies
- Identify and address claim rejections, denials, and claims requiring additional information for adjudication and maximum reimbursement
- Resolve patient disputes or questions regarding billing, statements, or fees.
- Work directly with patients as needed by monitoring and responding to internal RCM voicemails
- Navigate payer websites; create, maintain, and distribute access to payer portal provisioning for our internal staff or vendor partners
- Oversees proper billing and charge posting for the department.
- Perform end of month process, as required
- Maintain strict confidentiality in accordance with HIPAA regulations
- Complies with departmental and company-wide policies and procedures
- Performs other job-related duties within the job scope as requested by RCM Management
Skills and Requirements:
3-5 years of experience with end-to-end Revenue Cycle Management- Familiar with the entire life cycle of an RCM claim—from patient onboarding, verification of benefits, to claim submission, and adjudication.
- Continuously monitor and audit the billing control processes and vendor operations
*Ability to audit an account in its entirety for variances in company policies and areas of improvement opportunity*Must possess strong analytical skills and be able to manage large volumes of data
- Must be able to think independently, have strong analytical, creative problem-solving skills with a continuous improvement mentality.
- Working knowledge of Excel and Salesforce
- Excellent communication and presentation skills
- Ability to work in a fast paced environment, start-up experience a plus
- Detail-oriented & efficiency-minded; good at finding ways to improve processes and operations
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