RCM Strategic Ops Analyst

Job Description

Job Description

Description :

Job Title : RCM Strategic Operations Analyst

Job Type : Full-Time

Location : Charlotte, Hybrid, requiring 2 to 3 days in the office

SUMMARY : The RCM Strategic Ops Analyst plays a vital role in supporting Revenue Cycle Management (RCM) Operations through development and review of reporting and analytics focused on success metrics for RCM. This position uses data analytics coupled with a deep understanding of AR to identify AR trends and create tools that drive decision-making and operational efficiency. The RCM Strategic Ops Analyst will play a pivotal role in designing, running and monitoring reports and developing standard reporting packages that focus on tracking and addressing performance issues through KPI monitoring with a goal of accelerating the enablement of strategic decision making by operations managers. This role will also be responsible for management of multidisciplinary project implementations within the RCM department.

A background in Revenue Cycle Management and data analysis within the healthcare sector is strongly preferred. The ideal candidate for this role is someone who has a blend between technical expertise, business acumen, and project management. Further, this person is a proactive and strategic thinker.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Duties include but are not limited to :

• Design and monitor standard reporting packages and KPIs to support Revenue Cycle Management (RCM).
• Partner with RCM Operations Managers to identify reporting and analysis gaps with the goal of implementing solutions for process and revenue improvement.
• Manage assigned multidisciplinary RCM projects that are aimed at process and / or performance improvement
• Lead initiatives to implement workflows associated with identified process enhancements at the team or department level
• Assist with billing revenue projections for existing and new business opportunities and income guarantee reconciliations
• Proactively identify areas of revenue opportunity and bring forth solution ideas for discussion with leadership
• Work closely with the BI team to determine ideal reporting solutions that meet needs of RCM leadership
• Analyze revenue cycle data (billing, cash applications, account receivable, etc.,) to provide insights on trends and recommend solutions based on what is observed in the data.
• Provide guidance and support to reduce denials and adjustments by analyzing data, identifying root causes, developing solutions, and implementing action plans.
• Maintain and update current KPI scorecards for revenue cycle teams and provide suggestions on identified improvement areas to the Managers and AVP
• Manage and support analysis and reporting on trends including (but not limited to) :
• Accounts Receivable (AR)
• Facility and profit center performance
• Payer behavior and denials
• Inventory Aging
• Assist in monitoring ROI of various vendor partners to identify any opportunity for cost reduction
• Create and deliver ad hoc reports to internal stakeholders as needed.
• Presents and explains information in an accessible way to RCM team members and Physician Partners.
• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility.

MINIMUM QUALIFICATIONS

To perform this job successfully an individual must be able to perform each essential duty to a satisfactory standard. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education : Bachelor’s degree in related field is required.

Experience : A minimum of three (3) years of experience in data analysis within healthcare revenue cycle management is strongly preferred, with knowledge of anesthesia revenue cycle management being a plus. An equivalent combination of education and relevant work experience may also be considered.

License / Certification : N / A

Language Skills : Proven ability to communicate effectively, both orally and in writing, with internal and external audiences. Capable of translating and presenting business requirements and reporting outputs into non-technical, understandable terms for various departments.

Computer Skills : Proficiency with Excel, Word, PowerPoint, and data visualization tools such as Power Pivot, Power Query, and Power BI.

Reasoning Ability : Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Strong problem-solving, quantitative, and analytical abilities. Strong ability to plan and manage numerous processes, people, and projects simultaneously.

Requirements :

About Providence Anesthesiology Associates

Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 150 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than 246,000 patients annually.

Why work for PAA?

PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field.

Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces in 2021 - 2023, PAA’s core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what’s right and don’t compromise.

What’s in it for you?

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