Job details
Job type full-time
Full job description
Company overview
Cloudmed is a first-of-its-kind, single-source enterprise platform provider of revenue intelligence™ solutions for hospitalsCloudmed’s approach of combining human expertise with advanced technology utilizing machine learning algorithms provides a smarter, more predictive way for clients to realize all potential revenueToday, cloudmed partners with over 3,100 healthcare providers in the united states and recovers over $1.2 billion of underpaid or unidentified revenue for clients annuallyCloudmed (triage solution) is the 2020 revenue integrity and underpayment services klas® category leader and its solution suites have hfma peer review status and are hitrust certified.
Description
Cloudmed’s physician underpayments (pb up) solution offering focuses efforts on identifying systemic contractual payer underpaymentsWe provide value to our client through a mix of subject matter expertise and technology enabled systematic underpayment detection logicAnalysts will gain exposure to the physician revenue cycle and play an integral part in identifying and recovering underpaid receivables for cloudmed clientsAnalysts will interact with insurance companies and clientsThis position provides an excellent opportunity to work amongst a motivated peer group in a professional office setting.
Responsibilities
Provide premium service to cloudmed`s clients, including reporting, and knowledge sharing
Communicate regularly and effectively with key stakeholders and upper management
Analyze clients’ managed care contracts and government- based fee schedules to identify underpayments
Understand and articulate claim and contract details to facilitate proper billing and reimbursement
Utilize cloudmed and client software platforms to manage account information and workflow
Continual analysis and quality control of underpayment risk areas to ensure audit accuracy
Resolve claims from commercial, government, and/or workers’ compensation insurance plans
Maintain timely and professional follow-up on open issues, both over the phone and by written appeal
Prioritize inquiries from key stakeholders, assist with project-specific tasks, and participate in generating monthly internal/external reporting
Meet monthly goals and maintain current resolution efforts on all assigned claims/projects
Collaborate with fellow team members, supports proactive communication and problem solving to enable high performance of team and individuals
Required qualifications
Associate’s degree in health information management (or similar field) or bachelor’s degree
Strong analytical, organizational, and professional skills
Requires close attention to detail and ability to handle multiple tasks simultaneously
Self-starter who can work independently and in a team environment
Excellent time management and problem-solving skills
Demonstrates high proficiency in microsoft office (excel, word, outlook) applications
Team-oriented with strong interpersonal and communication skills
Candidates will be subject to a background check and employment eligibility verification
Culture fit
The culture at cloudmed embraces those that demonstrate a deep passion for solving the problems of healthcare with enthusiasm for building positive working relationships and winning as a teamTake the work seriously, but don’t take yourself too seriouslyCreating a strong workplace culture has been one of our staples, which we believe encourages and inspires employees to do their bestJoin a fulfilling team of like-minded individuals who can get their work done, but still have fun!
Benefits
Cloudmed provides an extremely competitive benefit package that includes a 401(k) match, medical/dental/vision insurance and more.
