Revenue Cycle Analyst

COVID-19 vaccination NOT required for this position.

Job Summary

The Revenue Cycle Analyst will closely work with the operations team and clinics as well as our insurance payers, acting as a subject matter expert (SME) to identify and resolve systemic payment issues within the RCM department. This includes RCM process analysis and improvements, participation in training and mentoring, as well as development and review of training and operational material. It also may include participation in the development and support of process automation.

In fulfilling the duties mentioned above, the position will extract, manipulate, analyze, and summarize utilization and internal USDP data, across multiple internal and external reporting platforms, to produce top-sided consolidated reports and analytics for review by key company stakeholders. This position will also be responsible for directly or indirectly driving RCM resources to resolve issues identified.

Duties And Responsibilities

• Create and maintain training materials for Revenue Cycle Management processes and workflows.
• Develop job aids, quick-reference guides, process guides, SOPs, checklists, and reference materials.
• Extracts, analyzes, summarizes claim data from the practice management system to identify contract compliance issues and underpayments.
• Maintain expertise regarding specific assigned payers, clinics ops, and RCM functional components.
• Maintains on-going project timelines and status with weekly updates to the team.
• Responsible for managing the resources related to owned projects and issues.
• Ensures data integrity and accuracy of all analysis and summary reports completed.
• Implements system changes and updates as required to support departmental operations.
• Identifies project issues and risks and help identify mitigation strategies.
• Works closely with and supports management to meet project goals.
• Completes audits and audit reports for functional areas of responsibility, reporting to management any concerns.
• Monitors productivity for all projects and functional areas of responsibility, reporting to management any concerns.
• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.