REVENUE CYCLE ANALYST - CenterLight Health System : Job Details

This position is responsible for CenterLights billing and revenue cycle to analysis, reconciliation, and operational procedures while maintaining adherence to DOH and CMS guidelines. This position will participate in day-to-day operations (inc. member and provider outreach) and reporting on revenue cycle functions. JOB RESPONSIBILITIES: Perform analytics (on MMR and 820/834) and reconciliation of payments received to billing files. Work with the Enrollment/ Intake department to investigate and resolve for the purpose of correction/rebilling. Identify LTC/ Custodial Nursing Home and work with the Clinical team and NH providers to obtain budget letters for the purpose of identifying and collecting NAMI. Outreach to Nursing home providers to confirm member eligibility and completion of MAP letter. Identify members with Surplus, NAMI, or Pool Trust and resolve related issues. Outreach Nursing home members with a surplus for collection of the remaining balance and/or potential participatio...Revenue, Analyst, Processing, Operations, Skills, Analytics, Technology, Healthcare