Revco Solutions

Business Analyst

• The Senior Business Analyst is primarily responsible for the administration of the FACS and/or Artiva applications.
• Works closely with Operations, Client Services, Finance/Accounting and Compliance to ensure all business requirements are being achieved and makes recommendations on process improvements.
• Works closely with other Business Analysts and will provide training and mentorship as needed.
• Design, test and develop programs or configurations for the Application environment.
• Review and modify, as appropriate, programming and configurations for the Application environment.
• Uses analysis techniques to identify and resolve problems.
• Work with internal and external clients to provide thorough, accurate results.
• Work collaboratively with data center, vendors, and internal and external customers.
• Identify measures or indicators of system performance and the actions necessary to improve or correct performance relative to the goals of the system.
• Consult with management to ensure agreement on system principles.
• Develop, document and revise system design procedures, test procedures, and quality standards.
• Determine how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
• Review and analyze logs, alerts, and performance indicators to locate code problems, and correct errors by correcting code.
• Lead and/or assist with application projects including but not limited to: system migrations, mergers, and conversions.
• Abide by all policies as outlined within Revco Solutions’ Employee Handbook.
• Adhere to and be compliant with FDCPA, FCRA, FACTA, HIPAA, Regulation E, Regulation F, TCPA and other applicable federal, state and local laws as well as company policies and procedures.

Senior Business Analyst

Customer Support

• Respond to patient inquiries received via hospital website
• Ensure timely and accurate handling to all electronic communications.
• Assist patients in resolving any concerns or questions related to hospital services.
• Maintain a compassionate and professional demeanor in all patient interactions.
• Document all electronic interactions in the hospital’s CRM system or relevant databases.
• Maintain patient confidentiality in accordance with HIPAA regulations.

Hospital Customer Service Representative

Account Manager

• Answering inbound calls from patients and addressing any inquiries, concerns, or requests with empathy and professionalism.
• Assisting patients with insurance inquiries, claims, and billing matters.
• Providing information about medical procedures, services, and general healthcare inquiries.
• Documenting patient interactions and updating relevant systems according to established guidelines.

Patient Account Representative

Client Services Representative

• The client services representative is responsible for interacting with clients to provide and gather information in response to internal and external inquiries to assist with portfolio and individual account handling.
• Maintain/develop constructive and cooperative working relationships with clients over time.
• Confer with clients by telephone to provide or obtain information including updating account statuses, consumer contact information, or other additional information relating to the collection of debts.
• Strive to respond to client inquiries received within the same business day.
• Keep records of client interactions, recording details of inquiries, complaints, or comments, as well as actions taken within the system.
• Check to ensure that appropriate changes were made to resolve client concerns or inquiries.
• Promptly refer unresolved client inquiries to designated departments for further investigation/review.
• Promptly process itemized bill requests and utilize WebNow for obtaining/processing disputes, when applicable.
• Send notification to the client of final bill requests, balance/payment verifications, disputes, and instances of fraud and/or identity theft and follow up on responses received.
• Post direct payments.
• Access client websites when applicable to assist with consumer resolutions.
• Process monthly client statements providing payment details and invoice to clients and reconcile any disputes.
• Participate in audits, client visits, external client meetings, conference calls and summits, as necessary.
• Ensure all process and procedure documentation are kept current.
• Client Services must adhere to and be compliant with FDCPA, FCRA, FACTA, Regulation E, HIPAA, TCPA and other applicable federal, state, and local laws as well as company policies and procedures.
• Abide by all policies as outlined within Revco Solutions Employee Handbook.

Insurance

• Oversee daily operations of billing and insurance follow-up teams.
• Execute billing and follow-up plans, monitor department reports, and track user productivity.
• Manage client communications, including project updates, billing system support, and service implementations.
• Lead internal and external meetings to discuss project deliverables and updates with key stakeholders.
• Resolve account balances and assist with complex billing or denial issues.
• Monitor and resolve inappropriate denials, underpayments, and overpayments.
• Stay current with payer guidelines, regulations, and industry best practices through webinars, seminars, and research.
• Identify billing system issues and assist in system updates and process improvement initiatives.
• Respond to audits (e.g., RAC, MIC, ADR) and support the appeals process.
• Create and maintain tracking tools for interdepartmental communication and reporting.
• Provide coaching and support to staff members to meet quality and productivity standards.
• Manage staffing needs, assist with hiring decisions, and ensure time and attendance compliance.
• Maintain effective working relationships with clients, internal teams, and external stakeholders.
• Ensure HIPAA compliance and maintain patient confidentiality at all times.
• Act as a liaison between Management, Supervisors, and Staff to promote department success.
• Lead initiatives aimed at reducing payer rejections and denial rates.
• Support revenue cycle projects and provide feedback on operational effectiveness.

Insurance Supervisor

• Handle inbound and outbound calls with insurances and follow up on accounts within a timely manner working towards a one touch resolution.
• Handle and resolve assigned group of accounts
• Resolve and recover lost revenue from these denials
• Investigate the issues and attempt to overturn the denial to get the claims paid

Senior Business Analyst

Hospital Customer Service Representative

Patient Account Representative

Client Services Representative

Insurance Supervisor

Insurance Denials Follow-Up Specialist