Epic Resolute Hospital Billing Associate Analyst
Indexed description
Work You'll Do/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.
- 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
Qualifications
Required
- 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
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.
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