Epic Resolute Hospital Billing Associate Analyst
Position Summary
EPIC Resolute Hospital Billing Associate Analyst,
Work you'll do/Responsibilities
- Review AR aging reports and work queues to identify unpaid and delayed claims.
- Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
- Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
- Document claim status details and payer-provided information
- Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
- Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
- Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
- Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
- Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.
The successful candidate would possess these skills
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to provide clear guidance to others
The Team
Required
- 1+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area
- 1+ years of foundational proficiency in Epic Resolute Hospital Billing application
- 1+ years of experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system
- Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience
- Limited immigration sponsorship may be available
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $50,000-$60,000.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
Deloitte is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to participate in the recruiting process, please direct your inquiries to the Global Call Center (GCC) at USTalentCICInbox@deloitte.com.
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