Tyrula is expanding its Healthcare Revenue Cycle Management (RCM) portfolio and is looking for a Revenue Cycle Management Healthcare Solutions Analyst to serve as our subject matter expert and grow with us! 

A little background: A number of years ago, we partnered with an industry-leading RCM firm to configure and deploy an RCM /clearinghouse system that assists providers in optimizing their current RCM process from patient registration to claim submission and remits. After countless successful clearinghouse implementations, we are expanding our presence in the RCM space to include Medical Coding opportunities, Patient Financial Counselling Processes, and Medical Billing Initiatives.

Initially, your role will be supporting our existing customers in the clearinghouse space by generating reports that capture KPIs, answering questions regarding 837P/I pends, completing payer enrollments, and other EDI-related tasks. You’ll also be working with new customers on new RCM clearinghouse implementations for the entire customer lifecycle: from communicating with customers and specifying their RCM needs to managing the system implementation and conducting training.

Looking ahead, you will be heavily involved in our RCM product expansion in these new spaces to manage coders and billers! An ideal candidate will have a solid RCM knowledge base, will be an effective problem-solver, and will be comfortable in a client-facing role while identifying RCM Opportunities within the Federal, State, and Local space.

This role is perfect for someone with strong RCM/EDI knowledge who loves talking to different customers on a daily basis!

Why Tyrula?

  • Diversity - Tyrula LLC is a woman- and minority-owned 8(a) small business headquartered in McLean, Virginia, US. From the top down, we are committed to inclusivity and are constantly looking for ways to further support our employees. 

  • Remote work - While we do have an office, most employees work remotely around the country. 

  • Perks - We have a great benefits package including paid healthcare, dental, and vision Insurance (among other things listed below), and provide all the equipment you will need to be successful in your role.

  • Culture - We foster a friendly and empathetic culture where everyone's voice is heard.

Responsibilities:

  1. Use market-leading technology-enabled solutions & advanced analytics in conjunction with previous healthcare knowledge to support customers.

  2. Collaboratively participate in client engagements focused on improvement, optimization, and transformation of processes including implementing leading practice workflows, addressing deficits in quality, and driving operational & financial outcomes across the different levels of healthcare organizations

  3. Independently and collaboratively contribute to assessments of healthcare organizations including revenue cycle billing, follow-up/aging, denials, financial clearance capabilities, vendors, and all related front-end/back-end functions; site observations, stakeholder interviews, document review, data-driven insights, and process mapping

  4. Communicate with customers and manage clearinghouse solution implementations

  5. Analyze RCM system KPIs and provide reports to our customers as well as to our internal stakeholders

  6. Monitor Electronic data interchange files (EDI files) including 837,276/277, 270/271 and 835 files for potential posting issues into the RCM system

  7. Serve as the initial point of contact for our RCM customers with claim pend issues and other EDI-related questions

  8. Configure our no-code clearinghouse RCM solution

  9. Communicate with our Partners

  10. Manage end-user accounts

  11. Train End-users

  12. Communicate status, issues, and opportunities to management

  13. Managing Coders and Billers

Requirements:

  1. Minimum of 2 years relevant health insurance revenue cycle management work experience

  2. Minimum of 1 year previous experience in business office management or other experience managing coders and billers

  3. Minimum of 1 year experience in a customer-facing role

  4. Certified Professional Coder Certification (CPC) for Medical Coding

  5. Understanding of Medical Billing especially the following processes: submitting 837s, posting 835s, etc.

  6. Understanding of Eligibility Verification 270, 271 etc.

  7. Ability to read/interpret EDI files (837,277,270,271) and provide analytical support to team

  8. Experience working with clearinghouse portals such as Revenue Performance Advisor or Assurance Reimbursement Management from Change HealthCare or My Ability

  9. Perform denials analysis to reduce controllable rejections. Perform deep-dive analysis to find solutions that can benefit our clients

  10. Strong analytical and problem-solving skills

  11. Ability to provide a detailed assessment of revenue cycle processes with a focus on process improvement and best practices

  12. Excellent written and verbal communication skills with demonstrated experience in producing correspondence

  13. Solid understanding of revenue cycle concepts including financial clearance, insurance verification, financial counseling, patient estimations, registration functions, referral management, operational & financial metrics, industry-leading practices, and key revenue cycle key performance indicators

Desired Additional Skills:

  1. Minimum 3 years of consulting experience focused on revenue cycle operational or financial improvement

  2. Experience with RPMS

  3. Experience in configuring a clearinghouse system

  4. Knowledge of government contracting and proposal submission is preferred. 

  5. 2 years of analytics experience with handling, analyzing, and evaluating large data sets

Salary

$70,000 to $80,0000 annually

Benefits

  • Paid Healthcare, Dental, and Vision Insurance

  • Paid Short-Term and Long-Term Disability Insurance

  • Paid Life Insurance

  • Matching 401K Retirement

  • Performance Bonus 

  • Profit-Sharing

  • Paid Vacation 

  • Paid Sick

  • $1500 per year for personalized training

  • $50 per month Internet/Phone Reimbursement

  • Remote Work

Location

US Remote, Eastern Time Zone Hours

About Tyrula

Tyrula is a diverse Information Technology (IT) consultancy focused on providing innovative solutions to improve the quality of healthcare. Our software processes thousands of business transactions daily for a variety of customers in the Healthcare IT industry.

We offer a potent combination of software products, IT, and management services to our customers in the healthcare and public sector industries. Our technology offerings encompass all aspects of data, from its acquisition, transformation, storage, interoperability, compliance, visualization, and disposal. We love working on a diverse range of projects (within the $3.4 trillion US healthcare industry) and supporting multiple efforts simultaneously.

We are a well-established company experiencing rapid growth with our products in both the federal and commercial space.

Tyrula is not able to provide sponsorships or visas to applicants at this time.

Principals only. Recruiters, please don't contact this job poster. Do not contact us with unsolicited services or offers.

All offers of employment at Tyrula LLC are contingent upon one’s eligibility to obtain and maintain a federal public trust.

Tyrula LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

This position has been filled. Would you like to see our other open positions?