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RCM Analyst- Provider Enrollment

Roanoke, VA, US, 24011

Job Summary

Welcome to a promising future with this unique career opportunity. At Carilion Clinic, our team provides support for Revenue Cycle Management in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in.


The RCM Analyst provides general support for Revenue Cycle Management functions within specified area. Maintains knowledge of all Revenue Cycle Management areas and activities, while specializing in knowledge of specified area. This position works under limited supervision and provides guidance to RCM Specialists, RCM Processing Representatives, and RCM Support Assistants, as needed or assigned. Expected to work under minimal management supervision and will lead projects. Uses discretion and/or good judgment on more complex subjects. Works in a fast-paced, office environment with high productivity and accuracy standards that requires focus and concentration on tedious details and research.

The job duties for the RCM Analyst include, but are not limited to, the following:

 

  • Accountable for monitoring and reviewing work queues and complex high dollar and/or high risk accounts to facilitate appropriate account action and follow-up.
  • Conducts analysis of complex accounts. Determines actions and completes action steps to resolve accounts.
  • Recognizes the varying timeframe requirements as assigned by payor and is the primary line of defense against any timely filing potential losses.
  • Collaborates with team lead/training team in recommending solutions to management related to insurance issues, departmental procedures, and operations.
  • Manages denial, aged, no response, “at risk” account work queues.

 

Medical experience preferred. This position requires accountability, attention to detail, self motivating, strong written and communication skills.  Able to meet time sensitive deadlines and have computer skills.

Minimum Qualifications

Education: High School graduate required; extended college course work preferred in Business or Accounting

Experience: Three years of experience in specified area or other applicable experience required.  Communication, analytical and problem-solving skills required.  Proficiency in EPIC Fundamentals required.   EPIC Administrator preferred

Other Minimum Qualifications: Must be able to meet high productivity and accuracy standards.    High focus and concentration needed for computer, analytical, organizational and time management required.   Visual perception and high hand/eye coordination necessary.  Requires excellent hearing, clear/concise speech, excellent finger dexterity to operate computer terminal/keyboarding as well as use of a calculator.  Must be proficient with word processing, computer/PC skills.  Excellent documentation and follow-up skills required.

Our Values

Below are our core values that we strive to embody and expect of all our team members:

CommUNITY:  Working in unison to serve our community, our Carilion family and our loved ones.

Courage:  Doing what’s right for our patients without question.

Commitment:  Unwavering in our quest for exceptional quality and service.

Compassion:  Putting heart into everything we do.

Curiosity:  Fostering creativity and innovation in our pursuit of excellence.

 


Requisition Number: 54523 
Employment Status: Full time 
Location: CASB - Carilion Administrative Services Building 
Shift: Day 
Shift Details: Minimual morning/evening
Recruiter: KIMBERLIE A GONCE 
Recruiter Phone: 540-983-4091 
Recruiter Email: kagonce@carilionclinic.org


This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning
hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.