Allscripts

  • RCM Analyst- CHMB- Lisle

    Job Locations US-IL-Lisle
    Requisition ID
    2018-18307
    Posted Date
    6 days ago(11/7/2018 6:40 PM)
    Category
    Administrative/Clerical
  • Overview

    allscripts-logo-green-gray

    Welcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.

     

    The primary purpose of this role is to assist the RCM Director with data related to specific accounts and their unique attributes in order to successfully identify trends and provide customized reports for each account. The purpose of the position is to enable the RCM function to better analyze data in order to most effectively process revenue recovery. The position will provide assistance and support the company’s overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle processes and deliverables.

    Responsibilities

    • Identification of trends with front end claim errors/failures, creating corrective action plans in the form of edits, workflows, etc…to reduce reoccurrence.
    • Compiles, analyzes and reports on data related to underpayments, denials, revenue opportunities and revenue leakage.
    • Identifies denials trending with the use of reporting and analytics.
    • Categorizes denials based on root cause findings and distributes reports and metrics to applicable management and teams
    • Works closely with management to create processes for denial appeals process and pro-active enhancements to reduce denials from occurring
    • Serves as a resource when necessary for billing and reimbursement issues
    • Actively works appeals projects as assigned
    • Becomes proficient on payor guidelines including governmental and commercial in the various states that CHMB clients reside in
    • Performs special audit requests for denials and assists in the writing of appeal letters.
    • Participates and presents trends in client meetings via phone or onsite as needed
    • Strong internal and external customer service skills; prompt return and follow up to all interactions; prompt response to requests for information.
    • Keeps manager informed of progress, achievements and issues; assists staff with processes, information and workload
    • Complies and enforces all policies and procedures related to the position, the department and the company and achieves the goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements.
    • Other duties as assigned.

    Qualifications

    Experience/Training/Education:

    High School Diploma or GED; One year certificate from college or technical school preferred

    3-5 years of experience in same/related field

     

    Knowledge/Skills/Abilities:

    Technical:  Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts.

     

    Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment.  Ability to work independently without undue supervision.

     

    Communication:  Ability to read, analyze and interpret complex documents.  Ability to respond effectively to sensitive inquiries or complaints from employees and clients.  Ability to speak clearly and to make effective and persuasive arguments and presentations. 

     

    Math & Reasoning: 

    Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems. 

     

    Physical and Environmental Elements:

    This is primarily a sedentary office classification and employees work in an office with moderate noise levels, controlled temperature conditions and no direct exposure to hazardous physical substances.  Clear speaking voice is necessary, as well as finger dexterity to access, enter and retrieve data using a computer keyboard, typewriter keyboard or calculator, and to operate standard office equipment.  The position occasionally bends, stoops, reaches, pushes and pulls drawers to retrieve and file information and lifts and carries reports and records that typically weigh less than 20 pounds.

     

    Other requirements:

    May required some business travel

     

    At Allscripts, our greatest strength comes from bringing together talented people with diverse perspectives to support the technology needs of 180,000 physicians, 1,500 hospitals and 10,000 post-acute organizations across the globe. Allscripts offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

     

    Allscripts policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Allscripts must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire.

     

    From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

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