Revenue Cycle Analyst in Boston, MA at Public Consulting Group

Date Posted: 3/12/2021

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    40 Broad Street
    Boston, MA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    3/12/2021

Job Description

Overview

Public Partnerships LLC, a subsidiary of Public Consulting Group supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. 

Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget.  We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.

Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations.  We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.publicpartnerships.com).



Responsibilities

Responsibilities:

  • Prepares and manages weekly billing activities and invoice submissions.
  • Knowledge of medical billing, revenue cycle cash flow & electronic data interchange (EDI) transactions
  • Reconciles payments and perform denial research using database queries and spreadsheet analysis.
  • Prepares and re-submits corrected claims or invoices as needed.
  • Interacts with clients and staff to obtain project knowledge and achieve overall goals.
  • Establishes improved systems functionality to ensure claims are properly reconciled to the payroll accounting system.
  • Work with multiple financial and claiming systems to analyze claiming operations and reconcile reported data.
  • Performs business to business collection activity as needed to maintain low and current receivable balances.
  • Verifies and maintains accurate receivable balances across multiple information systems.
  • Designs, develops, and prepares accurate reports for internal and external clients.
  • Documents policy and procedures relating to accounts receivable collection efforts and billing processes.
  • Leads and directs the work of others, as needed
  • Collaborates with IT department for refining existing billing processes and management reports.
  • Supports in design, testing and production of Medicaid claiming for new projects as required.
  • Provides consultation to billing system design requirements for new projects.
  • Keeps up to date on state business rules for claiming to systems design requirements.
  • Defines scope of system changes and enhancements for an IT development audience.
  • Tests system functionality prior to release of changes to production environment.


Qualifications

Required Skills:

  • Analytical skills, including the ability to analyze quantitative and qualitative information and reach sound conclusions.
  • Strong proficiency with SQL & Tableau
  • Ability to perform A/R statistical analysis, identify gaps, develop and deploy solutions necessary for achievement of key metrics (days in A/R, aged receivables, denial rate, bad debt percentages
  • Detailed and process improvement oriented
  • Ability to read and understand technical specifications
  • Outstanding PC spreadsheet/Excel skills required
  • Ability to work independently and with a team.

Qualifications:

  • Bachelor’s degree preferred or equivalent and relevant professional experience in finance/corporate finance.
  • 3+ years’ experience in finance/corporate finance, Project Management experience preferred

Working Conditions:

This job will be remote initially and will then be located in our Boston office.

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EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.