Revenue Cycle Analyst

Job Description

Job Description

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title - Revenue Cycle Analyst

Department - Revenue Cycle Department

Reports to -

Benefits -

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position: Responsible for processing all visits for payment and recording the corresponding payments and denials.

• Work Location: Admin Office
• Schedule: Monday through Friday, 8:00am - 5:00pm
• Travel: None

Duties/ Responsibilities -

• Transmit Medicaid, Medicare and Private Insurance claims electronically.
• Generates statement reports for center collections
• Type paper claims for facility services rendered at the clinics.
• Corrects and refiles the denied claims
• Tracks denial patterns and provides a report.
• Ensures that the claims process is efficient and operating correctly.
• Provides recommendations and reports billing system concerns.
• Responds to patient and insurance company inquiries regarding the account.
  
• Provides recommendations for system enhancements to ensure maximum reimbursement and efficiency.
• Provides phone coverage for the corporate office on an as needed basis
• Performs other duties as assigned or necessary
• Process Returned checks
• Transmit claims
• Post Payments
• Process denials
• Process return statements
• Generate statements
• Maintain insurance library
• Report denials caused by system set up
• Perform all other duties as assigned

Qualifications -

Education: High School Graduate

Required:

• One to three years experience in the healthcare environment.
• Knowledge of claims processing in the health care environment.
• Basic computer skills.
• Understanding of ICD-10 and CPT coding.

Preferred:

• Bilingual
• Associates Degree
• Prior work experience in the area of processing.
• Prefer prior experience in healthcare billing

Current/valid License: None

Immunizations: All PHS Required Immunizations

Pay Range: $16.43 - $22.08

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.