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Revenue Cycle Management Analyst 1115576 Full-time

at Pathways Virginia in Virginia (Published at 10-07-2020)

Are you interested in working with a company that values people and has a passion for service? Do you want to become part of an organization that cares about your personal and professional growth? If you have answered YES to these questions, then you should consider working for Pathways!

Pathways is one of the largest national providers of accessible, outcome-based behavioral and mental health services. At Pathways, we deliver exceptional value by creating healthier communities through the work of exceptional people. Our more than 6,000 employees provide the highest-quality home- and community-based human services in 20 U.S. states and the District of Columbia.

Pathways is looking for a Revenue Cycle Management Analyst to join our team. The Revenue Cycle System Analyst will support the RCM department with financial and operational analysis. The Analyst will lead the implementation of the EHR system software ensuring all programs, CPT, HCPCS codes, ICD10, clinical documentation and payers set-up are accurate. Analyst will identify issues and implement solutions to ensure that the revenue cycle is not interrupted. The RCM Analyst is responsible for creating, analyzing and resolving issues that may occur with revenue cycle reports. Additional responsibilities will include thorough analysis of upcoming releases and upgrades for testing, training, and identifying any potential adjustments to workflow that may be required.

DUTIES AND RESPONSIBILITIES:

  • Identify, review, analyze, and resolve open issues to enable accurate and timely billing of claims, including working with other functional groups as needed
  • This includes system deployment, software configuration and problem resolution related to the various applications utilized by the Company
  • Customer level support, including researching and responding to customer inquiries
  • Review, analyze, and maintain various revenue cycle reports
  • Ensure that all Sarbanes-Oxley (?SOX?) Key Controls and other company policies are followed
  • Communicate potential issues and impacts with RCM teams and management
  • Work with IT support and systems teams to coordinate and implement changes
  • Analysis, in-depth functionality testing, documentation, training, implementation, and ongoing support of new/existing computer systems or programs

REASONING ABILITY

  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

MATHEMATICAL SKILLS

  • Ability to work with mathematical and financial concepts.

SPECIFIC KNOWLEDGE/SKILLS REQUIREMENTS:

  • Ability to multi-task in a fast paced environment in an organized manner with attention to detail and a high level of accuracy
  • Familiarity with electronic health records systems (EHR) and MS Office Suite to include Excel.
  • Medical Insurance experience preferred

QUALIFICATIONS:

  • Bachelor?s Degree or equivalent combination of work experience and/or education.

Pathways is committed to creating the best possible work environment for our team members and offers the following total rewards package: (NOTE: THIS ONLY APPLIES TO FULL TIME EMPLOYEES)

  • Competitive Salary
  • Paid Vacation Days
  • Paid Sick Days
  • Holidays
  • Medical, Dental, Vision including a Health Savings Account
  • Health, Dependent and Transportation Flexible Spending Accounts
  • Basic and Optional Life Insurance for Employee, Spouse and/or Dependents
  • 401 K Plan
  • Training, Development and Continuing Education Credits for licensure requirements
  • Opportunities for advancement! As we grow, you grow with us!

Pathways or any its subsidiaries does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status or any other characteristic protected by law. Pathways is an Equal Opportunity Employer and a Drug Free Workplace.



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