Revenue Cycle Analyst

Job Summary

Managing a specific client's Out of Network inventory, the full-time remote Revenue Cycle IDR Analyst will analyze claims data, submit IDR disputes, and identify trends to maximize reimbursement while collaborating with various stakeholders.

Key responsibilities

• Submit Open Negotiation letters and IDR Disputes for federal and state processes
• Analyze insurance cards and EOBs to determine claim funding status and identify trends within claims inventory
• Manage relationships with Out of Network payers to establish claim settlement processes and present findings to clients and internal stakeholders

Required qualifications

• Bachelor's Degree or equivalent experience
• 3+ years of experience in hospital revenue cycle analytics or hospital accounts receivable claims management
• Experience in reviewing insurance cards, EOBs, and claims data
• Knowledge of Revenue Cycle and various Revenue Cycle systems/applications