Job Information
Vitra Health Senior Revenue Cycle Analyst Health Care BILLING in Braintree, Massachusetts
About Us:
Vitra Health is a Home Health Care and Adult Day Health organization that specializes in care management of adults and seniors. We are a rapidly growing company which was started to improve access to quality home health care services. We rate ourselves solely by the quality of care we provide our clients. We realize that our clients are someone's parent, grandparent, child, friend, or neighbor – we pride ourselves on never taking this fact for granted.
VITRA Health is vital in providing comprehensive assistance to caregivers who care for friends and family in their own homes. We understand that most caregivers face financial and emotional challenges, often without compensation or support for their selfless efforts. By joining us, you can be part of the solution to these challenges. If you have a positive attitude and love helping people, VITRA Health is for you. Our highest priority is our team's health, happiness, and success.
Senior Revenue Cycle Analyst
Job Description
Classification: Exempt
Reports to: Revenue Cycle Manager
Department: Finance
Job Overview:
Responsible for improving revenue workflow, efficiency, accuracy (large quantity of insurance claims submitted daily through various payers)
Assist with revenue operations, in-depth analysis of denials
Analyze daily, weekly and monthly denials by payer using denial reporting tools
Analyzes system reports and identifies denial/non-payment trends, reports recommendations to Revenue Cycle Leadership
Maintains through knowledge of EDI claims and remittances, payer billing requirements and policies
Ensure that insurance payers are properly billed for services provided by different programs
Coordinate with necessary departments to ensure billing accuracy
Submit claims through the various insurance payers
Daily re-authorization process
Essential Functions:
Submit claims through various insurance payers
Communicate with all relevant insurance payers to ensure that all claims are processed accordingly
Follow up regarding denied claims with appropriate insurance payers
Reconcile claims that have been paid to ensure accuracy
Resubmit delayed or denied claims as needed
Resolve any billing related issues as they arise
Review and manage the eligibility process. Identify opportunities for improvement
Work with necessary departments to gather data to ensure accurate billing
Develop and implement billing procedures by analyzing current procedures and recommend changes
Answer billing related questions by researching and interpreting data
Maintain appropriate documentation and reporting per regulatory requirements
Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations
Submit for re-authorization for services to multiple insurance companies
Demonstrate ability to manage and influence change, work independently
Willingness to tackle new challenges and new ways of doing business
Foster culture of customer service and commitment to quality care
Serve as a brand ambassador for Vitra reflecting our vision, mission, and values
Show a genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members
Other duties as assigned
Education, Experience and Licensure Requirements:
Bachelor's degree preferred
3-5 years of previous billing experience required
Previous experience in home health care or other branch of health care preferred
Understanding of relevant laws and best practices
Proficient in MS Office, Excel, Waystar knowledge a plus
Experience implementing new systems preferred
Familiarity with insurance guidelines for Medicaid's Adult Foster Care and Adult Day Health programs
Excellent attention to detail and accuracy in billing processes
Strong analytical and problem-solving skills, excellent communication skills
Proficiency in using electronic health record (EHR) systems and billing software