POSITION SUMMARY :
The Revenue Cycle Analyst is responsible for the analysis of revenue cycle data including professional billing, vendor management, provider enrollment and ACO attribution areas.
This includes, but is not limited to, charge capture, accounts receivable, write offs, denials, and payer analysis (e.g.
Medicare, Medicaid, Commercial, and Private Pay). The Revenue Cycle Analyst will assist in developing processes for optimal revenue cycle and ACO attribution outcomes.
The Revenue Cycle Analyst will report to the Senior Director of Revenue Cycle.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
- Prepare and deliver client-specific and service line reporting related to claims, payments, accounts receivable and visit density
- Maintain department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates relative to fee schedules, patient payments, account write-offs due to contractual issues and collections problems
- Through reporting and analytics, collaborate with provider enrollment to ensure timely completion of ACO and Telemedicine provider enrollments
- Collaborate with ACO / Telemedicine operations, account management, and sales teams to gather, synthesize, and communicate relevant information to support performance targets
- Prepare timely and accurate dashboard reporting on a weekly / monthly basis
- Communicate key findings with supporting documentation to client stakeholders
- Aid in creating and monitoring models that connect strategies to measures of performance that ensure successful implementation
- Provide analytical support and develop tools for department operations to enhance detecting both current and future performance issues
- Develop and manipulate large data sets as well as analyze data groups to assist in the development and implementation of process improvement strategies
III. SPECIAL KNOWLEDGE, SKILLS, ABILITIES, AND TRAINING NEEDED TO PERFORM YOUR JOB :
- Strong analytical and organizational skills
- Excellent oral and written communication skills
- Ability to multi-task and prioritize workload in a fast-paced environment
- Advanced skills in Excel and other analytics / business intelligence tools (i.e. Power BI)
- Working knowledge of healthcare payment models, physician practice management, revenue cycle, value-based care models
EDUCATION / EXPERIENCE :
Education
- Minimum : Bachelor’s degree in Business Administration or Healthcare Administration Preferred :
- Experience
- Experience
Minimum : 1-3 years of experience in healthcare financial and revenue cycle analysis
Preferred :
This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.
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