Revenue Cycle Analyst

Revenue Cycle Analyst

Tenet Global Business Center, Inc.
Metro Manila / NCR
2-12 years
Not Specified

Job Description

Knowledge, skills and abilities
  • Analyze and resolve patient claims being held by billing edits. Review the APC Grouper, Ancillary, Overlap and Rapid Response reports/worklist daily for timely resolution of billing edits.
  • Acts as a liaison and interacts with departments to obtain information needed to properly bill accounts based on the documentation in the medical record.
  • Prepares and reviews work comp implant invoices to ensure accurate billing.
  • Assist with late charge action plan templates.

  • Knowledge of CPT4 and HCPCS
  • Knowledge of government compliance regulations
  • Ability to research and collect data
  • 2+ years’ experience in insurance billing in hospital environment.
  • Strong working knowledge of third-party billing requirements to include Medicare, Medicaid, Commercial and Managed Care payors.
  • Demonstrates a general knowledge of medical terminology, ICD-9, ICD-10 and CPT procedure codes relative to hospital practices.
  • Displays strong knowledge of all business units including Patient Access, HIM, Case Management and Finance.

Tenet Global Business Center

A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.

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Functions : Analytics/Business Intelligence

Industries : ITES/BPO

Skills/Roles I hire for: Reports and Analytics

level Hiring For: Mid Level

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