Benefits Analyst

Work Model Hybrid

Job Description:

Provide support to Revenue Cycle through the following:

• Review coverage discovery for scheduled patient appointments to determine patient responsibility
• Document coverage appropriately in Epic
• Identify trends in coverage and point of service patient responsibility collections for each of the 88 clinic locations
• Recommend process changes that would optimize collection of patient responsibility related revenue and third party payments
• Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and revenue cycle related topics

Required Skills:

• Epic PB experience - 5-7 years of experience, certification preferred
• RHIA/RHIT/CPC certified required
• Revenue cycle reporting, build, logic, claims adjudication, data, and training clearinghouse - 7+ Years of Experience
• Third party coverage discovery
• Insurance Benefit Interpretation - 7+ Years of Experience
• RTE interpretation

Preferred Skills:

• Public health, community health, physician clinic, FQHC, RHC revenue cycle experience
• Mississippi healthcare experience