Revenue Analyst
Avera
**Location:**
Redfield, SD
**Worker Type:**
Regular
**Work Shift:**
Day Shift (United States of America)
Redfield Community Memorial Hospital and Clinic is seeking a qualified individual to join our team!
**Position Highlights**
**Job Summary** **:**
**The Revenue Analyst is responsible for providing support and/or training for Business Office. Provides consultation and support to the Finance Director for developing efficient processes and procedures for Community Memorial Hospital, Redfield and Doland Clinics. Review and/or perform audits in all aspects of the Revenue Cycle process, which includes HIM, billing, Accounts Receivable, claim denials, A/R Aging and charge rejections. Review and/or perform CDM Audits.**
**Essential Job Functions** **:**
**Respects the dignity, confidentiality and privacy of patients**
**Review the charge master, making changes as needed**
**Knowledge of insurance plans and procedures**
**Knowledge of the Medi-tech Billing system**
**Prepares quality assurance reports on an as needed basis (monthly or quarterly)**
**Self-paced, works independently, quickly, accurately and efficiently**
**Continues the updates/testing/software programs**
**Knowledge of CMS rules and regulations**
**Marginal Job functions** **:**
**Understands the responsibilities of maintaining and updating skills and job knowledge**
**Other duties as assigned**
**Assist directors with any questions regarding pricing within their departments**
**Assist clinic billing with questions regarding billing questions or processes**
**Must pay attention to details**
**Knowledge of insurance plans and procedures**
**Works with little supervision**
**Self-paced, working accurately and efficiently to meet deadlines**
**Cooperation with ancillary departments**
**Knowledge of computer networking operations**
**Other job duties as assigned**
**Essential Physical Demands** **:**
**Dexterity necessary for keyboarding, typing, adding machine usage, filing, holding, indexing, inserting, lifting, opening, sorting, stapling, turning, and writing**
**Good communication skills and hearing are necessary when dealing with patients, visitors, nurses, physicians, and other staff. Job involves frequent, repetitive motions of the hands/wrists involved with computer entry.**
**Equipment Used to Perform Job** **:**
**Must be familiar with and able to operate all equipment utilized in the department, including computers/keyboards, copy machines, fax machines, telephones, printers, etc.**
**Mental Requirements** **:**
**☐ Reading, simple ☒ clerical ☒ extending**
**☒ Reading, complex ☒ coordinating ☒ precision working**
**☐ Writing, simple ☒ analyzing ☒ follow instructions**
**☒ Writing, complex ☒ supervising ☒ influence others**
**☒ Math skills, simple ☒ instructing ☒ time requirement**
**☐ Tasks, simple ☒ decision making ☒ memorization**
**☒ Tasks, complex ☒ independent judgment ☒ problem solving**
**Potential Job Stressors** **:**
**Must be able to deal daily with professional, non-professional and medical staff**
**Must be able to deal with potential unpleasant job activities resulting from frequent interruptions and/or distractions, customer demands. Must be able to effectively prioritize tasks midst these activities.**
**Education and Experience** **:** **Associates degree in Business Administration or 4 years in business experience preferred; must have a high school education. Previous medical experience preferred. Computer knowledge necessary; knowledge of medical insurance processes very helpful.**
**Skills, Knowledge, Abilities** **:**
**Possesses tactful verbal communication skills**
**Demonstrates ability to problem solve through critical thinking applications and work well under stress while maintaining positive attitude and composure.**
**Must have an ability to develop an excellent rapport with clients, customers, hospital staff and physicians**
**Must be flexible in work hours and job demands**
At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.
The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444.
Additional Notices:
For TTY, dial 711
Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.
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