Top 67 Claims analyst Jobs in Philadelphia Pa

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel
Virtua Health —Mount Laurel, NJ
- $70,935 - $110,268 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
Billing Analyst - AHA
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
Accounts Receivable Analyst
Deloitte —Philadelphia, PA
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
5d
Claims Analyst IV-Auto and GL
AIG Claims, Inc. —Philadelphia, PA
- $72,500 - $102,500 a year
- Email
- Office
- Bachelor's degree
- Organizational skills
- Health insurance
Quick Apply
Senior Provider Reimbursement Analyst - Hybrid (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Microsoft Excel
- 5 years
- Office
Collections Analyst
Independence Blue Cross —Philadelphia, PA
- Mid-level
- Bachelor's degree
- Business
Quality Business Analyst
Independence Blue Cross —Philadelphia, PA
- Writing skills
- Mid-level
- Analysis skills
14d
Supply Chain Analyst
honeygrow —Philadelphia, PA
- Email
- Hybrid work
- Fast casual restaurant
- Mid-level
- Office
Quick Apply
13d
Data Analytics Analyst II
IQVIA —Philadelphia, PA
- $56,100 - $140,300 a year
- Full-time
- Remote
- English
- Mid-level
- 3 years
- Work from home
5d
Claims & Denials Analyst
Lawall Prosthetic and Orthotic Services —Langhorne, PA
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- On-the-job training
Quick Apply
Data Analyst
ParetoHealth —Philadelphia, PA
- 3 years
- Master's degree
- SQL
- Health insurance
- Dental insurance
Quick Apply
Product Services Analyst
Chubb —Philadelphia, PA
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Philadelphia, PA
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
5d
Actuarial Analyst
AIG PC Global Services, Inc. —Philadelphia, PA
- $60,000 - $75,000 a year
- Email
- Bachelor of Science
- Mid-level
- Office
- Health insurance
Quick Apply
Medical Billing Accounts Receivable Analyst
PATH People Acting To Help, Inc. —Philadelphia, PA
- Full-time
- Mid-level
- Office
- Associate's degree
- Paid holidays
- Loan forgiveness
Quick Apply
Senior Analyst, Kroll Settlement Administration
Kroll —Philadelphia, PA
- $32 - $36 an hour
- Full-time
- Research
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- Disability insurance
Healthcare Claims Business Analyst
InfoMC —West Conshohocken, PA
- HIPAA
- Mid-level
- Commercial
12d
Claims and Risk Analyst
Renewal by Andersen | Esler Companies —King of Prussia, PA
- From $30 an hour
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
- Paid holidays
- Health insurance
6d
Analyst, Kroll Settlement Administration
Kroll —Philadelphia, PA
- $25 - $27 an hour
- Full-time
- Research
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- Disability insurance
Analyst, Business Analytics
Tandigm Health LLC —West Conshohocken, PA
- Full-time
- Mid-level
- SQL
- Analysis skills
- Health savings account
- Health insurance

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Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel

Virtua Health -
Mount Laurel, NJ

Apply Now

Job Details

Full-time
$70,935 - $110,268 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
403(b)
Life insurance
Paid sick time

Qualifications

Presentations for conferences or internal meetings
Bachelor's degree
Cross-functional collaboration
Hospital experience

Full Job Description

Job ID: R1057037 Type: Full Time Location: Mount Laurel, New Jersey Standard Hours: 40 Shift: 1st Shift

The following experience is strongly preferred:

EPIC
Hospital charge description master experience
Charge audits
Coding & billing guidelines

Schedule:

Monday-Friday 8:30am - 5:00pm

First 90 days, Monday through Thursday onsite, and Friday remote.

Upon successful training, hybrid 2 days onsite and 3 days remote.

Local onsite meeting requirements.

Job Summary:

The position is responsible for root cause analytics along with audits to help identify opportunities, issues, and process improvement within the Revenue Cycle. This role supports the revenue cycle workflows, charge capture, work queue and denial review processes within an Epic based EMR.

This position will help optimize Revenue Cycle by evaluating, validating and trending data for presentation to all levels of the organization. Will support the Virtua Hospitals, Physician Groups and Home Health.

Position Responsibilities:

Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.

Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs. Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set. Works with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes. Conduct analytical reviews determine net revenue effect of proposed charge master and fee schedule changes. Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.

Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps. Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the Revenue Integrity Team. Revenue Cycle will include areas from Hospital, Physician and Home Health.

Monitor and assists with review of revenue cycle work queues in Epic. Perform analysis to identify issues, trending, root cause, and action plan development with work queue issues.

Assist in strategic pricing process to optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and resolving issues related to the patient revenue cycle and assists in development and recommendations.

Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure work queue rules are accurate and updated based on annual and quarterly coding changes.

Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports. Work queue and reporting will include areas from Hospital, Physician and Home Health.

Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide guidance and recommend solution to account representative.

Analyze billing errors and denial data to identify root cause of issues. Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement. Claim issues and denials will include areas from Hospital, Physician and Home Health.

Lead and participate in projects related to Revenue Cycle initiatives. Participate in ongoing coordination and resolution of revenue issues as they arise. Provide input to Director and Manager for annual Revenue Integrity planning process. Assist with additional projects as needed for Hospital, Physician and Home Health.

Position Qualifications Required:

Required Experience:

3 to 5 years' experience within a large hospital or integrated healthcare delivery system.

Ability to work collaboratively across disciplines and business lines.
Exceptional oral/written communication skills and highly customer focused.
Excellent interpersonal and presentation skills.
Able to communicate with many, various customers.
Ability to prioritize, plan and execute.
Excellent critical thinking, analytical skills.

Required Education:

Bachelor's degree, in Accounting, Finance, Healthcare preferred

Training / Certification / Licensure:

EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification, preferred #RD_P1

Annual Salary: $70,935 - $110,268 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

Apply Now

Refine Your Search

claims analyst jobs in philadelphia pa

Revenue Integrity Analyst - Epic Revenue Cycle Analyst, Hybrid, Mt. Laurel

Billing Analyst - AHA

Accounts Receivable Analyst

Claims Analyst IV-Auto and GL

Senior Provider Reimbursement Analyst - Hybrid (PA/NJ/DE)

Collections Analyst

Quality Business Analyst

Supply Chain Analyst

Data Analytics Analyst II

Claims & Denials Analyst

Data Analyst

Product Services Analyst

Epic Resolute Hospital Billing Associate Analyst

Actuarial Analyst

Medical Billing Accounts Receivable Analyst

Senior Analyst, Kroll Settlement Administration

Healthcare Claims Business Analyst

Claims and Risk Analyst

Analyst, Kroll Settlement Administration

Analyst, Business Analytics

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