Medicare Analyst
Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today. Responsibilities: The Medicare Analyst will support Barrow Wise's Illinois DHS project and perform the following duties:
- Document all processes and procedures and develop policies
- Perform data analytics on claims and revenue and develop visually-appealling reports
- Enhance claims management accuracy and compliance
- Review and assess the current Medicare Part A & B, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities
- Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency
- Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement
- Implement processes to improve billing and claiming with the transition to State staff
- Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claim to achieve optimal revenue
- Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs
- Identify additional revenue maximization opportunities for IDHS
- Develop project reports and present data to the State
An ideal candidate has the following:
- U.S. Citizenship
- Bachelor's degree
- 5 years of experience with Medicare claims processing systems and revenue maximization services
- Knowledge of automation in healthcare claims
- Proficient in Project Management and Business Analysis practices, principles, and tools
- Excellent written and verbal communication skills
Join the team at Barrow Wise Consulting, LLC, for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply. Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed. Apply tot his job Apply To this Job