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The Collections Analyst will be responsible for the analytics management of third party rejections of A/R, compliance analysis initiatives, and charge capture status reporting. Duties and activities will be performed in a fast paced central billing office environment. Duties are dedicated to accuracy, timely data mining, and analysis of any elements mapped to factors that impede on collection activities. Acts as the customer service agent between third party payors/CBO/CUP internal departments. Capable monitoring, tracking and documenting reimbursement trending per relationship to rejection status. Responsible for full comprehension of CUP revenue cycle work design mechanisms including but not limited to registration, charge capture, payment posting, account receivable follow up, accounts receivable rejections processing and compliance actions.
Capable of retrieving data and reviewing data sets that are relevant to but not limited to CPT-codes, IDC-9 codes, HCPCS codes, coordination of benefits, additional documentation needs, registration denials, third party payer rules, LCDs and NCDs, compliance measures and other third party payor rejections language. Responsible for accurate review to insure data sets and data interpretation are managed in a time sensitive environment with a focus on monitoring reportable trends. Expedites efficient and effective internal and external department written and oral reporting with guided communications to designated departmental representatives. Must focus on clear department reporting, recommendations and throughput management. Interfaces well with all levels of staff and management. Maintains all PHI in accordance with HIPPA, JACHO, third party contractual agreements along with CUH policy and procedures.
Ability to manage daily job functions along with special project work and prioritize level of importance on demand. Capable of indentifying third party payor response trending and escalation to management team as deemed necessary.
High School Diploma or Equivalent (required).