Note: The job is a remote job and is open to candidates in USA. Deloitte is a leading professional services firm seeking an experienced Accounts Receivable Analyst to join their team. In this role, you will deliver Back End Revenue Cycle Management services for healthcare provider clients, including billing, claims submission, and payment posting.
Responsibilities
- 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
- Support team members in resolving complex claims
- Support engagement management in pulling performance reporting
Skills
- Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
- 2+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area; intermediate proficiency in Epic Resolute Hospital Billing application; experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system; familiarity with Epic Analytics and Reporting applications
- Experience using Epic Resolute Hospital Billing
- Experience working in claims clearinghouse systems
- Experience using Epic Analytics and Reporting applications
- Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve
- Limited immigration sponsorship may be available
- Experience using Microsoft Word, Excel, and PowerPoint
- Experience supporting clinical or healthcare business operations
- Experience managing multiple projects or workstreams
- Experience preparing and delivering technical demonstrations
- Experience analyzing billing workflows, claim issues, or operational data
Benefits
- You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
- Deloitte is committed to providing reasonable accommodations for people with disabilities.
- We value our people and offer employees a broad range of benefits.
- Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively.
- From entry-level employees to senior leaders, we believe there’s always room to learn.
- We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship.
- From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.
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