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RCM Analyst 1

Public Partnerships LLC

Salary: 50k-55k USD

United States only

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Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.

Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com).

Job Summary:

Responsible for supporting billing, accounts receivable, and revenue cycle operations by ensuring accurate invoice processing, payment reconciliation, and system alignment. This role partners cross-functionally with internal teams and clients to maintain data integrity, support Medicaid claiming processes, and contribute to system and process improvements across billing and reporting functions.

Duties & Responsibilities:

Billing & Accounts Receivable Operations

  • Prepares and manages weekly billing activities and invoice submissions.

  • Prepares and re-submits corrected claims or invoices as needed.

  • Performs minimal business to business collection activity as needed to maintain low and current receivable balances.

  • Verifies and maintains accurate receivable balances across multiple information systems.

Reconciliation, Reporting & Analysis

  • Reconciles payments and perform denial research using database queries and spreadsheet analysis.

  • Designs, develops, and prepares accurate reports for internal and external clients.

Cross-Functional Collaboration & Process Improvement

  • Interacts with clients and staff to obtain project knowledge and achieve overall goals.

  • Collaborates with IT department for refining existing billing processes and management reports.

  • Documents policy and procedures relating to accounts receivable collection efforts and billing processes.

Systems, Medicaid Claiming & Technical Support

  • Establishes improved systems functionality to ensure claims are properly reconciled to the payroll accounting system.

  • Supports in design, testing and production of Medicaid claiming for new projects as required.

  • Provides consultation to billing system design requirements for new projects.

  • Keeps up to date on state business rules for claiming to systems design requirements.

  • Defines scope of system changes and enhancements for an IT development audience.

  • Tests system functionality prior to release of changes to production environment.

Required Skills:

  • Outstanding PC spreadsheet skills required.

  • Detailed and process improvement oriented.

  • Accounting system experience preferred.

  • Ability to read and understand technical specifications.

  • Ability to work independently and with a team.

Qualifications:

  • Education: Bachelor’s degree preferred or equivalent and relevant professional experience in finance/corporate finance.

  • Experience: 1+ years’ experience in finance/corporate finance, Project Management experience preferred

Compensation Range: $50,000 - $55,000 annually

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified.

Public Partnerships is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics. 

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

About the job

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Job type

Full Time

Experience level

Salary

Salary: 50k-55k USD

Experience

1 year minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Public Partnerships LLC

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