Revenue Cycle Analyst II

Job Description: • Effectively communicate problems, root causes, and proposed solutions to the Analytics team and stakeholders, including presenting data to different levels of leadership • Develop and adhere to a cadence of timely reporting and delivery of business analysis to stakeholders and assist management with tracking issue action plans • Present root cause analysis data findings with conciseness and recommendations following a data story format and guide trainings over excel or analytic functions to billing members • Understand and utilize expertise of the revenue cycle process from claim submission to receipt of payment/write off and pinpoint inefficiencies and suggest process improvements • Build data models and dashboards to support consistent, accurate and timely analysis that supports improving collections and efficiency and automation • Develop a thorough understanding of reporting systems, billing and analytic processes and payor-specific reimbursement and billing requirements and identify trends to resolve denials • Participate and, at times, represent Revenue Cycle in ASP meetings and discussions and develop relationships with revenue cycle vendors to ensure performance and quality • Assist in PAMA reporting for new and existing tests with accuracy and timely delivery and evaluate claim processing outcomes to improve internal cost estimating engine and revenue processing recommendations Requirements: • High school diploma or GED equvalent required • Bachelor’s degree in business, informatics, quantitative field or 3-5 years of revenue cycle/ analytics experience required • Fundamental understanding of revenue cycle principles, the theory of bottlenecks, and use of data models to measure and predict outcomes of processes • Working knowledge of , CPT, HCPCS coding, DSO reduction, accounts receivable, denial resolution, appeals, HIPAA regulations, and EDI claims submission methods • Advanced knowledge of Microsoft Excel (ability to clean, transform and merge data sets; perform complex data analytics) and experience with Business Information data tools, Looker, Xifin and Power BI preferred • Expertise level of data presentation and ability to explain issues to different levels of leadership • Experience building data models and dashboards to support analysis • Experience with PAMA reporting, claim processing outcome evaluation, and vendor performance management Benefits: • Remote work (Remote Job: YES) • Inclusive work environment and equal opportunity employer • Reasonable accommodations for applicants’ and employees’ religious practices and disability needs Apply tot his job Apply tot his job