Medical Billing Service / RCM Senior Analyst - Work From Home

Work From Home | Full-time | Fully remote

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Vericle is a Health IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time RCM Senior Analyst who compiles billing process data, analyses it, and creates solutions for process workflow and billing errors. Works on backlogs, AR>120+ and denial management. This position reports to the Chief Billing Officer. 

 

RESPONSIBILITIES

  1. Collect process error data, analyze it, categorize it, and report
  2. Build an effective billing process improvement and error resolution process 
  3. Identify and document categories of errors for immediate correction and for future learning material
  4. Monitor and guide the medical insurance payment denial and appeal processes
  5. Monitor and ensure control of timely filing  and Accounts Receivable over 120 
  6. Contribute to and maintain general SOP / training Manual
  7. Give special attention to WC, PIP, MVA and NF/TP claims process

 

QUALIFICATIONS

  1. Minimum 5 years experience in AR follow-up and payment posting
  2. College degree in Computer Engineering, Mathematics, or similar
  3. Hands on experience with data analysis and data classification
  4. Good analytical skills 
  5. Knowledge of ICD-10, CPT, and HCPCS 
  6. Experience with chiropractic, physical therapy, and mental/behavioral health specialties
  7. Experience with Vericle software is a plus

 

MUST HAVE:

  1. High comfort level working on the Eastern Time Zone/US Shift
  2. Good internet access at home
  3. Mobile Hotspot
  4. Laptop/Desktop of at least 8 GB