Revenue Cycle Analyst

Responsibilities:

• Providing analytical and decision support to the revenue management team.
• Oversees contract compliance, payment variance, and reporting support to RM, managed care, and leadership.
• Understands all facets of billing and collection processes, denial management, and managed care processes and applications.
• Performs revenue cycle analyses and identifies areas for improvement, performs root cause analysis of related processes, and leads process improvement through coordination as necessary with practice staff, corporate functions supporting the practices, and third-party billing/collection vendors.
• Serves as primary liaison between managed care, payer representatives, IT, and RM to support, design, and test RM contract modules and related systems.
• Participates in key management initiatives and performs special projects related to the physician practice revenue cycle. The position requires a high level of professionalism, confidentiality, and integrity.

Qualifications:

• Bachelor's Additional Qualifications: Bachelor's Degree in Accounting, Finance, or Health Administration or related business discipline.
• Master's Degree preferred. CCA, CCS, or CCS-P certification preferred, proven experience with coding and billing may be considered.

Skills:

• Ability to set priorities and manage multiple demands effectively with minimal direction and oversight.
• Extensive experience with payer contracts, reimbursement methodology, payment compliance, charge structure, and reimbursement modeling.
• Excellent organizational, interpersonal, and written and verbal communication skills.
• Excellent analytical and financial skills including computational and reporting tool capabilities.
• Advanced skills in Excel, including pivot tables, and data relational software.
• Ability to lead projects. Minimum Required Experience: 5