Location: Commerce Place 

Work Days: M-F  

Category: Professional and Management  

Department: Revenue Integrity  

Job Type: Full time  

Work Shift: Day 

Hours/Week: 40.00 

Union Name: Non Union

The Revenue Analyst II performs a variety of tasks associated with hospital charging, billing and collections procedures

Tasks include:

• Working assigned pre-claim edits

• Resolving rejections and denials via appeal and/or adjustment

• Issue/trend identification

• Billing needs for processing and resolving inpatient and outpatient hospital charges

• Contacts payers, patients and/or departments as necessary to facilitate timely payments or other required transactions

• Receives and processes correspondence and phone inquiries from internal departments, payers and other parties regarding charges and/or billing discrepancies • Responsible for keeping abreast of managed care and payer contractual arrangements in order to better comprehend the processing of accounts by third party payers

• Navigate in patient accounting systems to determine various aspects of account detail necessary for data entry management 

• Responsible for maintaining provider enrollment records and resolving claim edits related to enrollment issues

Qualifications:  

• Minimum 1 year hospital billing experience required

• Proficient in Epic systems experience required

• Ideal candidates should have experience in hospital billing, claims management, denials, appeal processes, and revenue integrity. 

• Candidates must be able to read and interpret an EOB (Explanation of Benefits), Remittance Advice and CMS 1500 data elements. 

• CPC preferred

 
In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.