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Associate Revenue Cycle Analyst



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2-3 Years
2 months ago
220 Viewed
0 Applied

Job Description

  • Serves as a source of knowledge for the designated revenue cycle function .
  • Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.
  • Assist with developing appropriate workflows and tracking for the designated revenue cycle function.
  • Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
  • Works closely with the vendor operations teams to oversight operations activity that directly impact the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
  • Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
  • Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
  • By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
  • Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance.
  • Supports goals and metrics to link department and revenue cycle initiatives with the organizations strategy.
  • Develops, manages and monitors successful completion of implementation and project plans.
  • Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments.
  • Continues to seek new and creative technologies that help identify and guide improvement opportunities that align with overall company success.
Qualifications :
  • Bachelors Degree in business or healthcare related field of study.
  • At least 2-3 years of experience in medical billing and Insurance collections.
  • Basic knowledge of CPT/HCPCS. ICD-10, modifier selection, and UB revenue codes.
Required Knowledge, Skills and Abilities:
  • Proficiency with medical billing systems, Microsoft Excel, medical terminology and basic procedure coding knowledge.
  • Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
  • Strong communication (verbal and written), organizational, problem solving and team player skills.
  • Ability to navigate across multiple customer demands and balance competing priorities successfully.
  • Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner.
  • Ability to solve problems using critical thinking skills.
  • Maintains confidentiality of sensitive information.
  • Analytical skills required.
  • Ability to think critically and identify the impact across the revenue cycle with a solution oriented approach.
  • Ability to develop, implement and produce analysis and reports

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Last Updated: 24-04-2024 04:19:15 AM
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