Revenue Cycle Analyst II
Job Description:
• Effectively communicate problems, root causes, and proposed solutions to the Analytics team and stakeholders.
• Develop and adhere to a cadence of timely reporting and delivery of business analysis to stakeholders, including reporting key metrics.
• Present root cause analysis data findings with conciseness and recommendations following a data story format.
• Builds data models and dashboards to support consistent, accurate and timely analysis that supports improving collections, developing more accurate collection processes, and improving efficiency and automation.
• Develops a thorough understanding of reporting systems, billing and analytic processes and payor-specific reimbursement and billing requirements.
• Measure and suggest improvements in clinically based appeal strategies.
• Assists in PAMA reporting for new and existing tests with accuracy and timely delivery to the Vice President for regulatory reporting.
• Evaluate claim processing outcomes to improve the internal cost estimating engine and make revenue processing recommendations.
Requirements:
• Bachelor’s degree in business, informatics, quantitative field or 3+ years of revenue cycle/analytics experience
• 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.
Benefits:
• Health insurance
• 401(k) matching
• Paid time off
• Flexible work arrangements
• Professional development opportunities
• Effectively communicate problems, root causes, and proposed solutions to the Analytics team and stakeholders.
• Develop and adhere to a cadence of timely reporting and delivery of business analysis to stakeholders, including reporting key metrics.
• Present root cause analysis data findings with conciseness and recommendations following a data story format.
• Builds data models and dashboards to support consistent, accurate and timely analysis that supports improving collections, developing more accurate collection processes, and improving efficiency and automation.
• Develops a thorough understanding of reporting systems, billing and analytic processes and payor-specific reimbursement and billing requirements.
• Measure and suggest improvements in clinically based appeal strategies.
• Assists in PAMA reporting for new and existing tests with accuracy and timely delivery to the Vice President for regulatory reporting.
• Evaluate claim processing outcomes to improve the internal cost estimating engine and make revenue processing recommendations.
Requirements:
• Bachelor’s degree in business, informatics, quantitative field or 3+ years of revenue cycle/analytics experience
• 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.
Benefits:
• Health insurance
• 401(k) matching
• Paid time off
• Flexible work arrangements
• Professional development opportunities