Adjudication, Analysis Skills, Billing, Calendar Management, Certified Professional Coder (CPC), Communication Skills, Community Health, Data Analysis, Epic Systems, Health Department, Healthcare, Healthcare Reimbursement, Insurance Documentation, Leadership, Medical Billing, Medical Records, Operational Audit, Operational Support, Patient Care, Process Improvement, Public Health, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Reporting Skills, Revenue Analysis, Revenue/Sales Reporting, Third-Party Payer, Trend Analysis
Client: Mississippi State Department of Health (MSDH)
Project: Supplemental Staffing for Revenue Cycle Functions
Location: 570 East Woodrow Wilson Avenue, Mississippi
Work Schedule: Monday Friday, 8:00 AM 5:00 PM
Remote: % Remote / % Onsite
Contract Duration: ASAP June , 2027
Hours: hours/week
Travel: Occasional (In-State and Out-of-State)
Background Check: Standard Background Check Required
Position SummaryThe Patient Benefits Analyst will support Revenue Cycle operations by analyzing patient coverage information, documenting insurance coverage within Epic, identifying trends related to patient responsibility collections, and recommending process improvements to optimize revenue collection and third-party reimbursements. The role requires close collaboration with clinical and operational leadership regarding coverage discovery, patient responsibility, and revenue cycle initiatives.
Key Responsibilities - Review coverage discovery for scheduled patient appointments to determine patient responsibility.
- Document insurance coverage accurately in Epic.
- Analyze trends in coverage and point-of-service patient responsibility collections across clinic locations.
- Recommend process improvements to maximize patient responsibility collections and third-party payments.
- Communicate findings and recommendations to clinical and operational leadership.
- Support revenue cycle initiatives and reporting activities.
Required Qualifications - Bachelor&# ;s Degree.
- Epic PB (Professional Billing) experience; certification preferred.
- RHIA, RHIT, or CPC certification required.
- Experience with:
- Revenue cycle reporting, build, logic, data analysis, claims adjudication, and training.
- Revenue cycle clearinghouse operations.
- Third-party coverage discovery.
- Real-Time Eligibility (RTE) interpretation.
- Advanced Epic experience.
- SME-level expertise in:
- Revenue Cycle Clearinghouse.
- Insurance Benefit Interpretation.
Required Skills Matrix | Skill | Level | Requirement |
|---|
| Epic | Advanced | Required |
| Revenue Cycle Clearinghouse | SME (7+ years) | Required |
| Insurance Benefit Interpretation | SME (7+ years) | Required |
- Public Health revenue cycle experience.
- Community Health experience.
- Physician Clinic revenue cycle experience.
- FQHC (Federally Qualified Health Center) experience.
- RHC (Rural Health Clinic) experience.
- Mississippi healthcare industry experience