Medicare Analyst at Barrow Wise Consulting, LLC in MD, USA

Job description

• 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

Requirements

• 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

Skills

Required

• U.S. Citizenship