Revenue Cycle Analyst II

Work from home Full-time role Hiring

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:

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