Revenue Cycle Analyst Resume Samples
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Revenue Cycle Analyst Resume Samples
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AM
A McKenzie
Armani
McKenzie
7655 Blake Freeway
Boston
MA
+1 (555) 818 3347
7655 Blake Freeway
Boston
MA
Phone
p
+1 (555) 818 3347
Experience
Experience
San Francisco, CA
Revenue Cycle Analyst
San Francisco, CA
Rempel and Sons
San Francisco, CA
Revenue Cycle Analyst
- Work collaboratively with lead analyst / manager / director to identify best practices and help develop performance standards that can be tracked and reported
- Provides analysis to support the development of budgets, financial and operating goals and establishment of staffing levels
- Optimization, auditing, and setup of work queues for charge capture reconciliation, denial management, clearinghouse, claims management, and payment posting
- Develop and manipulates large data sets as well as analyzes segments and data groups to assist in the development and implementation of strategies
- Provide insight to decision makers in the organization using analyses of past performance and expected future results
- Develops online management reports and key performance parameters
- Develop models to support business decision-making, forecasting and performance improvement
Dallas, TX
Epic & Revenue Cycle Analyst
Dallas, TX
Kiehn, O'Kon and Spinka
Dallas, TX
Epic & Revenue Cycle Analyst
- Document and analyze business processes and drive business process improvement workflows
- Provide service to users, according to the defined service level agreements
- Assist in identifying and recommending best practices for business analysis, training and end user support functions
- Communicate status on various project/program efforts to leadership, internal stakeholders and manage expectations
- Adhere to recognized project management tools and methodologies
- Answer end user “how-to” questions
- Analyze business processes to ensure accurate system configuration
present
San Francisco, CA
Senior Revenue Cycle Analyst
San Francisco, CA
Bartell-Wintheiser
present
San Francisco, CA
Senior Revenue Cycle Analyst
present
- Provide support to management in training and quality assurance, specifically related to performance trends, benchmarks, and other metrics as requested
- Perform additional process reviews as directed by the Manager; identify opportunities for improvement and implement changes as directed
- Analyze, and summarize reports and operational data to identify trends and ways to improve operational efficiency, productivity, and financial performance
- Provide assistance in researching opening balance sheet details surrounding recent Merger and Acquisition for reconciliation support
- Prepare reports/presentations and make recommendations to management
- Position will work with external and internal auditors as part of the annual audit and in the preparation/coordination of client assistance requests, etc
- Provide reporting data to management and others in oral and written form
Education
Education
Bachelor’s Degree in Business
Bachelor’s Degree in Business
Ashford University
Bachelor’s Degree in Business
Skills
Skills
- Pulling, summarizing, and analyzing reports and data. Ability to turn data in valuable, actionable information/knowledge
- Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
- Maintains detailed technical knowledge of assigned systems
- Ability to work independently with minimal supervision as well as ability to work in a team environment
- Strong communicator able to liaise between the hospital and AR outsource vendors for PBS information
- Proficient in extracting data from data sources and is detail-oriented
- Ability to interact with employees and vendors in a professional manner
- Proficiency in Microsoft Office Suite
- Ability to interact with Physicians and Senior Leadership
- Excellent communication and organization skills
15 Revenue Cycle Analyst resume templates
Read our complete resume writing guides
1
Revenue Cycle Analyst Resume Examples & Samples
- Extract, data mine and analyze both Risk and Fee For Service Revenue information from various reporting systems
- Coordinates with all business offices and coding department to gather revenue cycle key performance indicators
- Responsible for developing data-driven recommendations for process improvement based on root cause analysis, evaluation of people, process, and tools needed to achieve outcomes, addressing training needs, and/or identification of needed resources. Works with management to implement solutions for improvement
- Responsible for coordination and consistency of data between various repositories
- Prepares and review reimbursement reports
- Meets with representatives of Central Business Offices, Accounting and Operations to review A/R impact and other revenue cycle management KPIs
- Develops or improves workflows and system edits used by Humana PCP central business offices
- Participates in and assists with continuing education programs and policy compliance
- Participates in the Due Diligence process and communicate recommendations based upon findings
- Recommends potential changes to maximize revenue cycle operations
- Performs routine audits and analysis to identify and address issues involving payments, adjustments and denials trends
- Bachelor’s degree with emphasis in business, healthcare management, accounting or related filed
- 5 Years of Data Anaylsis Experience
- Healthcare Billing, Healthcare Reimbursement and Healthcare Revenie Cycle Management
- · Familiarity with eClinicalWorks EMR/PM
- Strong quantitative skills with excellent problem solving, analytical and organizational skills
- Proficient with SAS and SQL programing skills, Microsoft Excel Pivot tables, Data Analysis Pack tool and Solver, as well as other Microsoft applications
- Proficient with Medicare Risk Adjustment and Fee For Service, Medicaid and Commercial payers guidelines and regulations
- Strong knowledge of claims forms, CPT, ICD and HCPCS codes for Primary Care
- A thorough knowledge of Federal, State and Local regulations related to billing and insurance
- Knowledge of HMO (managed care - capitation) and Fee For Service (FFS) reimbursement models
2
Revenue Cycle Analyst Resume Examples & Samples
- Support existing capabilities related to the standardization and process improvement initiatives within the revenue cycle
- Participate on special revenue cycle projects such as ICD-10 Implementation, Audits Analysis, Compliance Initiatives, Charge Capture, Process Standardization, Cost Benefits Analysis and Six Sigma Improvement Initiatives
- Accurately collect, synthesize and communicate timely relevant information through the system to support strategies
- Assists and directs the development, automation and maintenance of key indicators and metrics that link strategies to measure of performance ( financial and non-financial)
- Perform analysis required for financial opportunity assessments for hospitals to identify opportunities to improve revenue cycle performance
- Researches a variety of complex and/or regulatory issues impacting revenue cycle and recommends processes to enhance financial and quality performance while meeting compliance requirements
- Understand and communicates the interrelationships between the measures and simulates the effects on business strategy
- Performs research on best practices and national benchmarks in the revenue cycle for the healthcare industry to assist in standardization of goal setting performance monitoring
- Provide support and guidance for the development and execution of plans to standardize policies, procedures and systems throughout all revenue cycle departments and information systems
- Provide support in creating and monitoring models that link strategies to measures of performance (financial and non-financial) that ensure successful implementation
- Provide analytical support to and develops tools for hospital operations to enhance their skills in detecting both current and future performance issues
- Develop and manipulates large data sets as well as analyzes segments and data groups to assist in the development and implementation of strategies
- Cultivate internal relationships at the corporate and facility level to gain support and participation in initiatives including Revenue Cycle Leadership, PFS Leadership, Managed Care, Decision Support and other Corporate and Facility Departments
- Cultivate external relationships to gain new knowledge and competencies
- Conform with and abides by all regulations, policies, work procedures, and instructions
- Utilize strong computing ability to balance multiple tasks
- Function as a contributing and effective member of the team
- Analyze and prepares special projects as needed
- Bachelors or Masters’ Degree, preferably in Accounting or Finance
- Minimum of four plus years advanced experience in hospital financial and operational analysis
- Experience with hospital account reconciliations and reimbursement methodologies
- Decision Support experience with skills in extracting and analyzing appropriate data
- Understanding of revenue cycle operations including Patient Access, Charge capture, Care Coordination, Health Information Management, Billing, Collection, Denials, and Bad Debt
- Demonstrated leadership in teamwork, special projects and complex assignments
- Skilled at managing multiple projects with various customers and grasp new concepts
- Proficient in extracting data from data sources and is detail-oriented
- Strong analytical skills to perform complex analyses
- Possess effective problem solving skills
- Advanced knowledge of healthcare industry with emphasis on revenue cycle processes
- Ability to interface with all levels of personnel in a large organization
- Proficient in Microsoft Office products including Excel, Word, Power Point, MS Project
3
Consultant Revenue Cycle Analyst Resume Examples & Samples
- Strong interest in utilizing information technology to facilitate business processes, problem solve, develop data queries and analytics, construct databases and apply related skills
- Coordinating data connections with external sources
- Translating needs and requirements into solutions
- Prepare analytical reports
- Ability to assist in identifying solutions to improve business processes through improved data analysis and reporting
- SQL Server Database, Transact SQL query writing and stored Procedure development
- Stored Procedure development
- Microsoft Windows, Microsoft Office 2010 or 2013
- Report writing (SSRS, Crystal or Cognos)
- Work with client relationship managers, subject matter experts and IT team to understand and deliver solutions that meet client expectations
- Assist in analyzing data systems and data elements from multiple data system sources
- Collaborate with others to design appropriate data flows, relationships and dependencies
- Assist in developing automated and reusable routines for extracting requested information from databases
- Compile detailed reports using data reporting tools such as SSRS or Crystal Reports
- Interest in and aptitude for data analytics/business intelligence
- Technical skills including PC, database and some networking technologies
- Data analysis and problem solving skills
4
Revenue Cycle Analyst Resume Examples & Samples
- Validate data and analytics used by external vendors
- Develop models to support business decision-making, forecasting and performance improvement
- Manage ad-hoc reports and analyses for site leaders and key business partners
- Perform quality assurance auditing and reporting
- Provide insight to decision makers in the organization using analyses of past performance and expected future results
- Consult with departments to determine analytical needs, objectives, functions and requirements
- Troubleshoot user problems at the first level to validate if the problem can be addressed by user development/training or if the problem should be escalated to the VHH IT Help Desk
- Assesses Revenue Cycle system training needs, develops system training curriculum, and coordinates system training for department staff
- Establish test accounts to include creation, data entry and maintenance of testing packets for changes due to system upgrades and/or procedural changes
5
Revenue Cycle Analyst Resume Examples & Samples
- Collaborative environment
- 0 to 3 years of experience in an Analyst role
- Strong SQL skills
6
Epic Ambulatory Revenue Cycle Analyst Resume Examples & Samples
- Ability to work independently and as a team member across multiple teams
- Ability to develop, document and ensure adherence to technical standards
- Ability to work in a fast-paced environment with frequent changes in project priorities
- Ability to react to customer expectations while exhibiting the highest level of customer service
- Proficient in the use of Microsoft Office tools (Excel, Word, Powerpoint, etc)
- Minimum 2-3 years work experience in Information Technology required
- Strong understanding of healthcare business process and technology required
- Demonstrated experience with Epic Resolute Professional Billing software preferred
- Basic understanding of physician office operations, clinical workflows and terminology preferred
- Working knowledge of health care incentive programs such as Meaningful Use and PQRS a plus
- Prior experience with revenue cycle operations a plus
- Prior experience with EpicCare Ambulatory or other Epic applications/modules a plus
7
Epic & Revenue Cycle Analyst Resume Examples & Samples
- Support and educate end users on PeC (Epic) revenue cycle details and supporting clinical and complementary applications
- Answer end user “how-to” questions
- Understand user requirements; translate them to functional requirements and assist end user with PeC workflow adaptation
- Identify and resolve issues and facilitate appropriate escalation for timely resolution
- Participate in regular team meetings to discuss team and project/program related activities, issues, changes, and communication as needed
- Provide service to users, according to the defined service level agreements
- Adhere to recognized project management tools and methodologies
- Assist in identifying and recommending best practices for business analysis, training and end user support functions
- Communicate status on various project/program efforts to leadership, internal stakeholders and manage expectations
- Analyze business processes to ensure accurate system configuration
- Document and analyze business processes and drive business process improvement workflows
- Assist with defining reporting requirements and tool mapping based on PeC reporting package offerings
- Uses the Partners HealthCare values to govern decisions, actions and behaviors. These values guide how we get our
- Bachelor’s Degree in Business, IT, Healthcare, or related required
- 5 years of healthcare IT experience with a knowledge of revenue cycle
- A combination of education and experience may be substituted for requirements
- Experience with Epic professional billing application required
- Experience with PeC or other instances of Epic revenue cycle applications, including professional billing required. Must possess the ability to assist end users with work queues for claim review, claim edit, and claim follow up; remit and credit work queues
- Experience with Prelude and Cadence - or other enterprise scheduling/registration systems a plus
- Experience in end user management, preferably in a healthcare setting
- Knowledge of clinical workflows and revenue cycle workflows
- Professional Billing/Medical Billing experience
- Ability to effectively translate business requirements to functional requirements
- Possess strong interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization including both technical and non-technical personnel
- Strong problem solving and negotiation skills
- Ability to effectively conduct meetings, both formal and informal including departmental and clinical user meetings
- Requires minimal direction from leadership and possesses the ability to learn quickly
- Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds an levels within and external to the organization
8
Revenue Cycle Analyst Resume Examples & Samples
- Bachelor's degree required. 8 years progressive, relevant knowledge toward mastery in the field accepted in lieu of Bachelor's degree
- Three or more years of experience progressively responsible experience in revenue cycle operations
- Detailed knowledge of Revenue Cycle, reimbursements, data streams, and auditing principles
- Gathers and analyzes information skillfully, develops alternative solutions
- Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in revenue cycle operations
- Knowledge of business analysis techniques is preferred
- Working knowledge of all functional areas of the revenue cycle, including contract and denial management, CDM and charge capture management, and strategic pricing
- Ability to interpret an extensive variety of instructions furnished in written, oral, diagram, or schematic form
- Creative and "outside of the box" problem solver is necessary for this position
- Experience with EMHS Software, data and business information is preferred
9
Cerner Revenue Cycle Analyst Resume Examples & Samples
- Build
- Optimize claim rules
- Maintain working relationship with vendors to resolve issues or implement new business needs
- Create new workitems to accommodate workflow requests
- Troubleshoot issues with 837,835, statements, collection files, refunds, and invoices
- Understand billing processes to provide improvements to workflow
- CCL
- Charge Services build tools
10
Revenue Cycle Analyst Resume Examples & Samples
- Three or more years of experience with healthcare finance, insurance and/or business office principle (charges, net revenue, rejections, denials, write-offs, etc.) required
- Epic certification or must obtain with 6 months Proficiency with Excel spreadsheets required
- Good interpersonal skills with the ability to communicate to various levels of the organization
- Prior revenue cycle experience preferred
- Ability to translate data needs into meaningful data displays
- Ability to manage multiple independents projects
11
Erecord Revenue Cycle Analyst Resume Examples & Samples
- Completes the functional design and build of the eRecord Revenue Cycle applicaitons after successfully achieving (and maintaining) current Epic certification.Epic certification may require two to five weeks of training requiring travel
- Performs in-depth analysis and facilitates development of integrated workflows
- Collaborates with the project team, subject matter experts, training and technical teams to effect system changes that reflect an in-depth understanding of the business and end user requirements while also considering impact to integrated components and standardization
- Manages all phases of assigned tasks/projects, meets established deadlines, and maintains flexibility while managing multiple priorities
- Reviews requested enhancements; prioritizes and implements requested changes to the system
- Collaborates to seek resolution of system issues or conflicts for points of integration while applying a broad knowledge of application, workflow and integration
- Acts as a participant in the rapid run process for upgrades, coordinating the activities of their application level team including NOVA review, presentation to Revenue Cycle Advisory group (RCA), build and testing
- Takes the initiative to identify and resolve complex issues.This includes independently executing creative solutions with minimal guidance
- Utilizes issue tracking tools such as Sherlock and HEAT
12
Revenue Cycle Analyst Resume Examples & Samples
- Support the following McKesson bolt on applications
- EPremis
- Rev Runner
- PCON
- MCA/PCA
- PHS
- Eligibility Checking
- MPF Cold feeds
- Patient Compass
- Code, test, debug, implement, and document programs or technical configuration
- Ensure programs meet technical specifications and standards
- Perform technical application configuration and configure /run reports at user request
- Design and execute unit, system and integration test plans for new developments/releases/reports
- Maintain technical documentation based on standard operating procedures in support of the assigned application
- Perform application maintenance activities
- Provide production support
- Interface with various teams to assist in resolving support calls escalated by the Service Desk
- Identify the common causes of the defects, prioritize them and systematically remove them so that they do not reoccur in further development work
- Provide end-user support that includes
- One-on-one product assistance
- Demonstration of functionality
- Addressing questions
- Identifying (and correcting when appropriate) issues with product usage
- Follow defined procedures for reporting, documenting and fixing issues
- Maintain established application SLA
- Report problems with build, workflow and/or software to the appropriate teams; implementing build changes when needed
- Identify and report any patterns in questions, problems or issues that may need to be addressed more globally
- Participate in daily status calls and weekly meetings as necessary
- Make recommendations for improvements or fixes where appropriate
- Perform routine system operations and maintenance tasks as needed
- Perform system build activities (add, change, delete) as needed; i.e. new workflow threads, etc
- Participate in testing activities during customer defined testing window
- Support go-live activities
13
Revenue Cycle Analyst Resume Examples & Samples
- Will assist lead analyst with identifying opportunities for process improvement utilizing key indicators (i.e. A/R adjustments, denials, late charge activity) and will facilitate corrective action in collaboration with others
- Assist with special analysis and projects as needed
- Work collaboratively with lead analyst / manager / director to identify best practices and help develop performance standards that can be tracked and reported
- Work collaboratively with management personnel to identify processes that negatively impact Accounts Receivable
- Maintains current knowledge of regulatory developments involving agencies such as CMS and HFMA
- Bachelor's degree in Business or related field required. 4 years progressive, relevant knowledge toward mastery in the field accepted in lieu of Bachelor's degree
- 2 years of progressively responsible experience in revenue cycle operations
- Knowledge of Revenue Cycle, reimbursements, data streams, and auditing principles
- Experience in diagnosing, evaluating and developing corrective actions for problems in revenue cycle operations
14
Senior Revenue Cycle Analyst Resume Examples & Samples
- Bachelor's degree Required
- Five or more years of progressively responsible experience in revenue cycle operations
- Demonstrated experience in gathering, diagnosing, evaluating and developing corrective actions for problems in revenue cycle operations
- Knowledge of business analysis techniques required
- Working knowledge of all functional areas of the revenue cycle, including contract and denial management, CDM and charge capture management, contract terms and requirements, and strategic pricing
- Expertise with regulations and accreditation standards, knowledge of specific state and federal requirements and standards as it relates to modern Revenue Cycle systems
- Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-9, ICD-10), and HIPAA ANSI codes (remark and adjustment codes)
- Excellent communications skills, both oral and written
- Intermediate Microsoft software knowledge and ability to train/assist end-users
- Ability to effectively influence change
- Flexible and able to react to ever changing priorities
15
Revenue Cycle Analyst Resume Examples & Samples
- Collaborates with key constituents in different functional areas to assist in designing reports that meet the hospital’s business requirements and provides training on generating these reports
- Ensures accessibility and flow of performance information to all relevant parties; works to prevent or address data transmission issues
- Analyzes financial and revenue cycle performance data to identify trends, patterns, and root causes
- Examines business and procedural workflows to identify weaknesses in proposed or established flows and suggests alternatives as necessary
- Conducts quantitative and/or qualitative analyses of performance and helps identify and prioritize improvement opportunities
- Explores potential sources of revenue leakage identified by performance indicators and responds with data-driven initiatives to improve net revenue
- Utilizes a strong understanding of software, operational workflows, governing policies, and regulations to assist in process changes
- Organizes statistical findings; interprets, simplifies, and presents information in order to champion initiatives to support data integrity and overall revenue cycle performance and efficiency
- Minimum three years of data or financial analysis experience required; five years of experience preferred
- Prior experience in revenue management, patient financial services, and/or health information systems preferred
- Expertise in data extraction and database queries
- Ability to manage, organize, prioritize, and multitask
- Ability to identify, analyze, and effectively address complex issues
- Ability to synthesize information and recognize trends
- Excellent problem solving and interpersonal skills
- Proficiency in Microsoft Office Suite
- Knowledge of reimbursement/payment policies, medical terminology, medical record coding, and claim billing strongly preferred
16
Revenue Cycle Analyst Near Naperville Resume Examples & Samples
- Flexible work times
- Review and analyze financial reports
- 2+ years of experience with EPIC
- SQL experience is a plus
17
Revenue Cycle Analyst Near Schaumburg Resume Examples & Samples
- Support CFO during monthly account close, including creating reports and data analysis
- Project management
- Budgeting and forecasting
- Presenting to upper management
- Bachelor’s Degree in Finance or Accounting
18
Revenue Cycle Analyst Resume Examples & Samples
- Coordinates preparation internal and external reports through gathering, analyzing and summarizing data and information from different departments
- Prepares presentation materials for management reports
- Evaluate and monitor the performance and efficiency of programs to ensure that program implementation is on target
- Assist in upgrading any revenue cycle business application (CareVoyant and ZirMed)
- Manage CareVoyant Access (SAR)
- Creates Authority access for each AHM business application
- Monitor program revenue reports, review for accuracy and completeness
- Develops online management reports and key performance parameters
- Work on overall project planning through reporting on project schedules and deliverable
- Work with the business analyst to prepare cost application and budgets for new business development
- Study assigned programs and understands requirements, program targets and goals
- Provide support to the departments by gathering and analyzing data in the establishment and/or maintenance of corporate business processes, procedures and policies
- Plan, manage and monitor minor revenue cycle projects from concepts through implementation
- Provide support to the Director of Revenue Cycle in planning, managing, and monitoring major projects from concepts through implementation
- Assist in the initiation, conducting and coordinating of studies and analysis on resource allocation, financial program evaluation reviews; analyze programs to ensure that program financial goals and work plans are on target
- Associate degree or equivalent experience
- Excellent written and verbal communications skills required
- Proficient PC skills required
19
Revenue Cycle Analyst Resume Examples & Samples
- Communication - communicates clearly and concisely, verbally and in writing
- Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
- At least one year of logging-related experience required
20
Revenue Cycle Analyst Resume Examples & Samples
- Production of the monthly statistical and analytic reports for the Patient Business Services department as well as other corporate entities
- Prepares and analyzes the patient business services status reports which are presented to the management team
- Provides on-going feedback to the departments concerning the impact they have to the revenue cycle
- Coordinates the effective and efficient use of patient accounting systems including billing, payment process and accounts receivable management software
- Serves as the primary vendor liaison for the department. Works to resolve system related claims processing/cash posting issues with payers/vendors
- Ability to prepare reports monthly & weekly regarding patient account activity for management action
- Familiar with the monitoring of work drivers to ensure that work flow is at optimum and efficient levels
- Strong communicator able to liaise between the hospital and AR outsource vendors for PBS information
- Comfortable performing critical daily activities to provide the needed work drivers and subsequent reports as requested by the management staff of the department
- Able to monitor the daily rejection reports from MediTech and provides feedback to the departments
- Bachelors Degree in Health Care Administration, Healthcare Finance, Accounting or other related field is required
- Two years or more prior equivalent experience in a healthcare setting is preferred
- Computer literacy in PC environment and MS Office (i.e. Excel) is required
- Strong organizational, interpersonal and communication skills
- Knowledge of hospital rate structures, reimbursement, clinical terms and national coding sets is desired
21
Revenue Cycle Analyst Resume Examples & Samples
- Provides on-going detailed assessments of revenue cycle processes with focus on process improvement and best practice
- Assists in the development of training programs for departments to increase knowledge of relationship between charge behavior, billing, and reimbursement
- Identifies revenue cycle problems, researches/analyzes data to resolve issues, identifies and selects alternatives to address outstanding issues, and works with management to implement solutions for improvement
- Assists Manager to develop, implement, maintain and monitor policies and procedures related to the revenue cycle to ensure the quality of billing functions and systems to optimize reimbursement and cash flow
- Conducts follow-up with Departments to ensure adherence to policies
- Reviews physician charge patterns by procedure, diagnosis, denial, insurance type and other insurance groupings as identified. Analyzes and reports variances
- Maintains fee schedules for all governmental agencies, commercial insurers and third party payers. Analyzes contract variance reports, identifies and troubleshoots errors. Coordinates response with appropriate parties such third party billing staff, third party payer representatives or managed care contracting staff. Maintains fee schedule and RVU data in the practice management system
- Actively works with insurance companies to insure compliance with established fee schedules and contractual provisions
- Develops and utilizes reports to track financial and operational performance across the entire spectrum of the revenue cycle
- Performs data analysis, report writing and presentation of findings to management
- Provides analysis to support the development of budgets, financial and operating goals and establishment of staffing levels
- Keeps apprised of rules and regulations affecting reimbursement and revenue cycle. Stays current through appropriate journals and personal contacts of such developments in the industry as may increase the effectiveness of operations. Participates in professional development activities to keep current with industry trends
- Bachelor’s Degree in Accounting, Healthcare Administration or equivalent
- 2-4 years of relevant experience in healthcare finance/accounting, revenue cycle and/or decision support functions
- Knowledge of Revenue Cycle business processes
- Strong personal computer literacy required including working knowledge of relevant software packages such as Microsoft Office (Excel, Access, Powerpoint, and Word), and familiarity with a practice management and hospital patient accounting system(s) such as Meditech and eCW
- Ability to work with large amounts of data, including checks for integrity, summation, and effective communication (written and verbal) to internal and external constituents
- Organized and effective at dealing with many activities simultaneously; strong planning and organizing skills required
- Self-starter with the ability to work independently at times when necessary
- Demonstrates the highest degree of accuracy and readability for all work and team projects
- Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Committed to on-going professional development as evidenced by membership and continuing education in HFMA, or other healthcare accounting / finance professional organizations
22
Senior Revenue Cycle Analyst Resume Examples & Samples
- 4-5 years experience in public and/or private staff accounting positions; preference of both public and private accounting experience
- Minimum of Bachelor’s Degree in Accounting; Master’s Degree preferred
- Must be a highly motivated self-starter
- Must be able to multi-task in a professional, fast-paced environment
- Monthly close internal control compliance and control execution, including the review of the month end close procedures and is responsible for day to day compliance with the close process
- Position will be responsible for review of all non-estimation reconciliations to aid in facilitating the close process, including all significant accounts with the exception of tax, revenue cycle and self-insurance estimates related accounts
- Maintain the tasks on the monthly close checklist. Suggesting alternative, more efficient, tasks, adding or deleting tasks and approved, etc
- The accountant will work with the home office accounting department team members daily during the month end close to drive timely and accurate completion of the items in the close process
- Report to accounting team progress of close daily with escalation of incomplete items
- Driving timely and accurate completion, and where needed, assisting to “make up” and complete task not completed timely
- Generally the Close process will entail the first 2 weeks of each month, with delivery of reports to all stakeholders week 3, with week for clean-up and preparation for next close
- Review and maintenance of SOX 404 documentation narratives
- Work directly with Internal and External Auditors as needed to execute annual control testing performed annually as a part of the Company’s annual certification
- Aide in the performance of monthly projects regarding reconciliations and internal controls
- Position will work with external and internal auditors as part of the annual audit and in the preparation/coordination of client assistance requests, etc
- The position will work on special projects outside of close that will add to the overall close efficiency and control structure
- Maintain the reconciliation of a few complex significant accounts during a transitionary period
- Provide assistance in researching opening balance sheet details surrounding recent Merger and Acquisition for reconciliation support
- Review and supervision of at least one staff accountant
23
Revenue Cycle Analyst Resume Examples & Samples
- Bachelor's degree in business, healthcare administration, or related field
- Master's degree in business administration (MBA) or health care administration (MHA)
- Certified Professional Coder (CPC) (American Academy of Professional Coders) or Certified Coding Specialist (CCS-P) (American Health Information Management Association) or Certified Coding Associate (CCA) (American Health Information Management Association)
- Preferred Experience
- Four years of progressively responsible business or health care related experience
- Experience with Microsoft Office (using Outlook and creating advanced level spreadsheets)
- Preferred Knowledge
- Demonstrated knowledge of personnel related functions including university and Shands recruitment and hiring policies and procedures, labor law, and foreign nationals and visa applications
- Demonstrated knowledge of University and Shands fiscal policies and procedures
24
Fvc-revenue Cycle Analyst Resume Examples & Samples
- Assist management in the financial feasibility of potential acquisitions, joint ventures, and startup businesses by providing various analyses and financial models for diverse financial data
- Gather, analyze, prepare and summarize recommendations on data of moderate scope
- Perform technical analysis to determine present and future financial performance
- Review submitted data for accuracy and integrity; addressing and escalating discrepancies and adverse trends as necessary
- Coordinate, support and monitor budget process for monthly financial close processes within assigned function(s)
- Assist in the preparation of presentations by providing diverse financial data
- 2 – 5 years’ related experience; or an advanced degree without experience; or equivalent directly related work experience
- Strong computer skills with demonstrated proficiency in word processing, spreadsheet, presentation and email applications
- Detail oriented with good analytical and organizational skills
- Must be able to work in a fast-paced environment with changing tasks, priorities and client conditions
- Self-starter with the ability to work independently under minimal supervision as needed
25
Revenue Cycle Analyst Resume Examples & Samples
- 1-3 years related experience
- Basic proficiency with hospital registration, billing system and Eagle
- Bachelor's degree or equivalent years of experience
- Proficiency with Microsoft Excel
- Professional communication skills - verbal and written
26
Revenue Cycle Analyst Resume Examples & Samples
- Advanced knowledge of third-party insurance, and familiarity with insurance plan types; HMO, PPO, POS, and Indemnity
- Excellent knowledge of Government Programs, including Medicare (CPT, ICD coding/reimbursement, and Medicare Fraud & Abuse regulations), Medicaid and Tricare Programs
- Possesses thorough knowledge of HIPAA regulations
- Possesses advanced knowledge of Revenue Cycle Systems
- Healthcare experience in data analytics, systems performance, and/or accounting. Experience with root-cause analysis and lean processes
27
Senior Revenue Cycle Analyst Resume Examples & Samples
- Minimum of 3-5 years business office experience in a healthcare environment and 1 year of USC Verdugo Hills experience preferred. In-depth functional knowledge of automated systems and their interactions., Must have knowledge regarding analytical tools and techniques including but not limited to MS4, Contract Manager, Nthrive Products
- Work requires a high level of problem solving skills, presentational skills, strong analytical skills
- Work requires the ability to interpret and execute USC Verdugo Hills Hospital Contracts
- Ability to tie Medicare Records, understand clinical documentation and be able to translate that to Charges for Billing
- Must be able to handle potentially stressful situations and multiple tasks simultaneously
- Must be able to successfully complete additional job related training when offered
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Revenue Cycle Analyst Resume Examples & Samples
- Facilitate the development and execution of financial services including
- Create and maintain financial reports/dashboards/data to meet the needs of hospital management teams
- Complete board reports on a monthly basis
- Provide assistance to administrators and executives; respond to inquiries related to reports or data, as well as provide a readily available resource for questions
- Facilitate development of management-specific documentation or reports
- Provide periodic evaluation of current financial reporting and other outputs
- Assist with policy and procedure development for financial components of the information system and to meet regulatory and industry standards
- Insure that organizational policies and procedures are updated to reflect changes in financial information systems
- Monitor day-to-day financial operations
- Run system-wide revenue reports at required intervals to ensure timely and accurate reporting
- Create ad hoc reports for special projects
- Compile and analyze reports
- Identify opportunities for improvement
- Identify opportunity to improve processes to enhance revenue
- Identify opportunities to enhance system functionality to support processes and revenue performance
- Assist in the design and configuration of system enhancements
- Coordinate improvement opportunities
- Collaborate with the coordination of improvement activities
- Provide training to any staff who impact revenue operations
- Identify areas to optimize revenue performance
- Assist in promoting a team atmosphere by treating individuals with respect and honesty and by using direct communication and active listening skills
- Be open to change and actively support change
- Be open to others’ ideas and points of view
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CDM / Revenue Cycle Analyst Resume Examples & Samples
- Assists in the maintenance and updating of all network Charge Description Masters (CDM) and EPIC Patient Care Tables, under the direct supervision of senior level staff members. Responsibilities include ensuring that all hospital services/supplies are added to the CDM per established policies and procedures. Involved in Network audit/review initiatives to ensure compliance with third party payer regulations/requirements related to the charge process. Responsible for verifying the accuracy of payments received for services rendered per third party payer contracts/other payment protocols
- Reviews third party correspondence (bulletins, Code Correct Informants, etc.) to identify possible additions and/or revisions to CDM/EPIC financial system tables
- Assists in the maintenance and updating of all network CDMs to ensure reimbursement maximization. Responsible for the initial pricing of hospital services and supplies utilizing various pricing methodologies established for the Network
- Performs periodic and/or annual Network Hospital price increases as directed. Maintains that the CDM complies with third party coding requirements regarding revenue codes, HCPCS/CPT-4 codes
- Assists in the maintenance of computer system tables that support the charge function (i.e., charge control parameter tables, revenue mapping)
- Assists management in the establishment of charges for new procedures, services, and supplies. Involved in educating hospital staff on the appropriate application of the CDM
- Assists senior staff in the conduction of routine reviews to ensure that hospital charge policies are applied consistently and that patient chart documentation supports charges applied to the patient account. Involved in the completion of the Quarterly Charge Audit
- Responsible for the initial compilation of supporting documentation (i.e., scripts, test results, progress notes, etc.) and preliminary review of all accounts selected for review
- Updates Outpatient Workers Compensation Fee Schedules on a quarterly basis
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Revenue Cycle Analyst Resume Examples & Samples
- Supports the System Revenue Integiry team in financial analysis and operations improvement
- Participates on special revenue cycle projects such as Charge Capture Audit, Late Charges, Compliance Initiatives, Regional and Corporate Process Standardization
- Extracts, analyzes and produces data through the creation of reports from health information and decisions support systems
- Provides timely and accurate analysis and necessary communication to enhance revenue cycle process outcomes
- Prepares reports evaluating the trending of accounts receivable, bad debt, cash collected, days A/R, Late Charges and other revenue cycle measures
- Assists and directs the development, automation and maintenance of key indicators and metrics
- Performs research on best practices and national benchmarks in the revenue cycle for the healthcare industry
- Contributes to the successful implementation of revenue cycle projects
- Bachelors or Masters Degree, preferably in Business or Finance preferred
- Ability to work independently with minimal supervision as well as ability to work in a team environment
- Possess effective problem solving skills and a positive "can-do" attitude
- Accurately complete assignments while meeting deadlines
- 2 years advanced experience in hospital financial and operational analysis
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Revenue Cycle Analyst Resume Examples & Samples
- Proactively identify inpatient, ambulatory, operating room, emergency department, and ancillary hospital service department charge opportunities. Understand charge master set up and maintenance requirements
- Understand and communicate processes for accurate, compliant charge capture and documentation requirements for correct charge capture
- Work with inpatient, ambulatory, operating room, and ancillary hospital service areas, along with the financial analyst team and health information management to identify critical reimbursement issues and resolve them in an expedient and proactive manner
- Provide input for revenue cycle process improvement initiatives
- Operationalize key reimbursement information for Third party Contracts for medical and professional services provided by HCMC
- Maintain extensive knowledge of ICD-9-CM, CPT/HCPCs procedure coding along with UB-04 and 1500 billing requirements
- Monitor federal, state and local regulations and alerts appropriate managers to changes
- Perform periodic training and education to department managers and staff on revenue cycle related topics
- Serve as a key resource for financial information and reporting and partners with leadership to identify strategies to affect change
- Analyzes managerial reports to identify aged or problem accounts
- Provide continuous quality control through variance checks, analysis and troubleshooting plus detailed research
- Ad hoc reporting as requested
- Other duties as assigned after appropriate training
- Bachelor’s degree in Business Administration, Health Care Administration or related area; or, Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Clinical Coding Specialist (CCS)
- Two years of experience in health care reimbursement, financial management or coding, including experience with computer financial applications
- Knowledge of all third-party requirements, state and federal regulations
- Knowledge of payer enrollment processes
- Knowledge of government and commercial payer requirements for accurate and compliant charging and billing of hospital inpatient, outpatient, surgical and ancillary services. Extensive knowledge of CPT, HCPCs, and revenue codes
- Experience with Microsoft Office (Outlook, Word, Excel, Power point, Access)
- Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
- Knowledge of regulatory publications, how to access and interpret
- Knowledge of medical terminology
- Ability to work independently, prioritizing and organizing their work
- Three years of experience
- RHIA, RHIT, CCS
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Revenue Cycle Analyst Resume Examples & Samples
- Manage entire revenue cycle from strategic planning to tactical activities to support billing integrity and achieve financial goals
- Documents and supports the development and refinement revenue cycle workflows (patient access, insurance verification, charge capture, payment posting, self-pay and patient follow-up management)
- Optimization, auditing, and setup of work queues for charge capture reconciliation, denial management, clearinghouse, claims management, and payment posting
- Develops and maintains dashboards, key performance indicators and reports such as to manage accounts receivables, claim denials, zero payments, daily cash reports, etc
- Promote best practices and achieve national benchmarks, optimal coding and charge capture
- Recommends front-end staff education, training, and communication for promoting denial prevention, accurate demographics and insurance verification, and point of service collections
- Prepares summaries that pinpoint root causes of charge and billing errors
- Participates in maintaining the integrity of Master Dictionary, System Configuration or Build Settings such as Account Types, Insurance, Physician Master, Referrals Master, Charge Master (CDM) fee schedule maintenance, etc efforts
- Prepares detailed reports as needed to assist leaders in cash and A/R reporting
- Training of the central billing office members and regular meetings with CBO leadership to proactively identify risks and issues to collaboratively develop solutions and resolutions Optimize existing and identify innovative technologies to promote automations and efficiencies within the revenue cycle
- Develop departmental strategies to meet cash projection formulas, reduce days in accounts receivable, and reduce denials
- Performs and participates in annual audits to maintain and improve data quality and prevent fraud and abuse within the revenue cycle
- Follow HIPAA Compliance, Security, and Privacy Guidelines
- Determine how processes can be aligned with best practices to achieve optimal results, measurable change and quantifiable, positive contribution
- Serves as a consultant to the regions and corporate staff
- Performs other duties as needed
- Bachelor’s degree in Business, Finance, Information Technology, Healthcare or other related degree
- Minimum of 4 years’ experience required
- Extensive experience in revenue management, patient financial services, charge capture and health information systems
- Able to synthesize information recognize trends
- Knowledgeable of healthcare improvement methodologies
- Knowledgeable of reimbursement/payment policies, medical terminology, medical record coding and claim billing
- Confident to present complex information to front-line, mid-level, and executive staff
- Able to relate and communicate positively, effectively and professionally with others
- Work calmly and respond courteously with under pressure
- Collaborate and accept direction
- Exhibits strong verbal and written communication and demonstrate excellent customer service skills
- Ability to be adaptable to work with challenging and demanding tasks and clients
- Ability to quickly evaluate and prioritize tasks in a fast-paced environment
- Demonstrate detail-orientation and superior time management skills
- Proficiency in MS Office (Word, Excel, PowerPoint), and must have strong data entry skills
- Implemented electronic health records and computerized physician order entry
- Acute Care or Emergency Department Nursing background
- Experience with different hospital and physician platforms and applications
- Experience with claims clearinghouse and 835 and 837 files
- Subject Matter Expert in clinical workflows and clinical informatics best practices
- Build and test of clinical information systems and elbow to elbow in person and web based go live support
- Project Management of milestones, deliverables, testing, training, resources, issues, risks, and lessons learned
- Design and build dashboards, analytics, and reports for clinical, operations, and quality departments
- Experienced developing and presenting training programs to clinical staff including nurses, physicians, and hospital administration
- Recruit, manage, hire, mentor, knowledge sharing of team of clinical systems managers, analysts, interns
- Understands clinical systems, answers technical questions and performs all assigned tasks
- Translates customer requests into software application solution specifications, appropriate to assigned tasks
- Work with internal clinical, operational and revenue cycle teams on workflows, build, testing and training
- Other – Performs other duties and special projects as assigned by VP of IT or Chief Technology Officer
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Revenue Cycle Analyst Resume Examples & Samples
- Assist in Practice Management/System support, training, issues resolution
- Analyze and improve performance of front-end billing operations within MD office practice settings
- Assist in managing provider credentialing process and maintaining credentialing database
- Assist with building and maintaining financial report/s database, month-end reporting, and physician performance score-cards
- Identify and monitor revenue cycle performance dashboards, work-queues, and work on resolving issues outside norm and expected baseline metrics and key performance indicators
- Assist with analysis of MD office and external billing company revenue cycle performance, and any financial analysis as needed
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Revenue Cycle Analyst Resume Examples & Samples
- Performs audits to test the validity of the payer contracted rate loads in Eagle along with testing claims to ensure accuracy
- Ensures that ambulatory surgery payments are correct and not systematically written off. Creates policy and procedures in order to maintain integrity of PFS
- Reviews and analyzes the allowance and payment transactions to ensure accuracy of usage and compliance with Managed Care contracts and staff
- Performs research to validate the accuracy of hospital coding, charging and billing data
- Creates and maintains Medicare and Medicaid timely case reports to ensure that claims are submitted in a timely manner
- Works in conjunction with the Data Analyst and CDM Analyst in order to maintain a smooth Patient Financial work flow and obtain optimum revenue
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Revenue Cycle Analyst Resume Examples & Samples
- Performs extensive analysis of accounts receivable at account level detail (20%)
- Minimum 5 years of healthcare experience in patient accounting/revenue cycle or other revenue cycle analytical experience required
- 7 or more years of healthcare experience in patient accounting/revenue cycle or other revenue cycle analytical experience highly preferred
- Experience working with Cerner Patient Accounting preferred
- Bachelor’s degree in healthcare/business administration or other related fields highly preferred
- Exhibits competency in Microsoft Word and Microsoft Excel
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Senior Revenue Cycle Analyst Resume Examples & Samples
- Prepare reports/presentations and make recommendations to management
- Identify trends, variances, aberrant data, and other information as needed
- Organize, prioritize and manage operational and analytical project requests
- Develop reports detailing current and historic performance of department metrics and teammates; identify trends, compare to established benchmarks and goals, perform workload analyses, create forecasting models, and other information as needed
- Provide support to management in training and quality assurance, specifically related to performance trends, benchmarks, and other metrics as requested
- Identify root causes to issues and gaps and take appropriatesteps to address and mitigate
- Develop and maintain knowledge of all applicable department policies and processes as well as knowledge of all applicable billing and A/R related systems
- Bachelor's degree in related field recommended; OR equivalent years of experience preferred
- Minimum of two (2) years revenue cycle experience with an emphasis on accounts receivable processes required, Healthcare Provider/Payer experience required
- Demonstrated experience in report development and in interpreting data required
- Demonstrated experience with electronic billingand accounts receivable systems preferred
- Advanced computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required; experience developing spreadsheets and databases required; experience with MS Access preferred, experience with Tableau preferred, experience with Cognos preferred, experience with SQL preferred
- Demonstrated interpersonal, collaborative, and relationship- building skills; ability to interact positively with teammates at various levels across the company
- Demonstrated exactness in attention to detail
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Revenue Cycle Analyst Resume Examples & Samples
- Bachelor's Degree in a quantitative major (e.g. Finance or Accounting)
- 3-5 years' experience with revenue cycle management including claim resolution, workflow redesign, and trend and metric analyses and reporting
- Must possess a "can-do" attitude with the ability to work well with all levels of internal management and staff
- Exceptional communication skills at all levels
- Ability to handle high levels of pressure and apply critical decision making with constantly shifting priorities
- Deep payer knowledge; Understands nuances of contract terms, payer billing, rates, contractuals, etc
- Strong presentation skills and ability to distill complex concepts into manageable pieces; Experience leading trainings and providing support
- Experience with multiple payer contracting structures and various fee schedules
- Skilled in establishing and maintaining effective working relationships
- Exceptionally strong critical thinking and problem solving abilities with a track record of identifying insights from quantitative and qualitative data
- Ability to communicate information clearly and effectively
- Excellent analytical, interpersonal, and communication skills
- Ability to interact with employees and vendors in a professional manner
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Revenue Cycle Analyst Resume Examples & Samples
- Accounts Receivable Production and Analysis (40%)
- Prepare and re-submit corrected claims or invoices as needed
- Perform minimal business to business collection activity as needed to maintain low and current receivable balances
- Accounting and Reporting (35%)
- System Development and Maintenance (25%)
- Provide consultation to billing system design requirements for new projects
- Keep up to date on state business rules for claiming to systems design requirements
- Detailed and process improvement oriented
- Accounting system experience preferred
- Ability to read and understand technical specifications required
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Revenue Cycle Analyst Resume Examples & Samples
- Analyzes data to identify likely relationships, summarizes data and prepares summary materials for discussion with clinical and finance teams
- Assist the Revenue Cycle Director in identifying needs for process improvement and innovation across the revenue cycle by analyzing and assessing revenue cycle reports, workflows and processes; participates in and fosters a performance improvement approach for revenue cycle departments
- Assists in developing a standard of metrics using benchmark data to assist in measuring department’s performance against goals and industry best practices
- Utilizes systems and department software to develop, and maintain financial reporting tools to support business decisions, which include but are not limited to reports on savings or additional net revenue, return on investment, and compliance. Prepares related reports, graphs, charts, presentations and other documents to support analysis
- Runs, reviews, interprets, analyzes and validates Revenue Cycle reports
- Identifies and reports on Revenue Cycle trends affecting reimbursement
- Supports and assists employees in assigned area(s) in identifying and troubleshooting revenue cycle related problems and provides recommendations for resolution
- Updating CDM (charge description master—CPT codes, standard prices, etc.) to ensure optimal billing fees and maximize collections
- Monitor vendor performance. Prepares and implements action plans with follow-up for vendors failing to meet performance requirements
- Bachelor’s Degree required. Experience may substitute for minimum education
- Three to five years’ experience in medical group or professional billing environment
- Preferred: Certified Biller or experience in a prior role performing collections
- Ability to collaborate multiple departments/discipline in a complex setting
- Problem solving skills. Ability to provide innovative ideas or solutions
- Knowledge of industry resources/benchmarks
- Maintain positive relationships with internal and external clients
- Pulling, summarizing, and analyzing reports and data. Ability to turn data in valuable, actionable information/knowledge
- Ability to interact with Physicians and Senior Leadership
- Cognos experience preferred
- Demonstrated proficiency Microsoft Access, Excel, Word, Outlook
- Pulse billing software
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Senior Revenue Cycle Analyst Resume Examples & Samples
- Performs routine and adhoc reporting for the Revenue Cycle departments utilizing proprietary decision support reporting software for summarizing and trending registration quality, patient satisfaction, physician billing and productivity, and patient billing data
- Implements regular and adhoc revenue cycle system audits in the areas of charge capture and reconciliation, registration and billing data integrity, system interfaces, and reconciliation of system transaction and control errors
- Maintains patient accounting and registration system tables for registration, patient accounting, eligibility, charge masters maintenance, billing, claims editing and account follow-up
- Assists in the implementation of revenue cycle information systems and applications; assumes project leadership, tests system output and assists with user training
- Develops and maintains patient billing and other financial databases in ACCESS, Excel and Word for revenue cycle reporting and day-to-day staffing workload management
- Collects, reviews and analyzes revenue cycle metrics data, presents trends and results to fiscal leadership, and maintains the monthly revenue cycle dashboard
- Compiles various accounting, program revenue, and statistical reports
- Audits claims and researches billing errors
- Develops scripts for automating the upload of information and making changes to live patient data (ex., Ollies)
- Assists in the development of audit and systems policies and procedures; prepares supporting documentation for annual financial audit and assists managers in implementing audit procedures
- Assists Finance in projecting and reporting net revenue and supplemental cash flows
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Assoc Revenue Cycle Analyst Resume Examples & Samples
- Maintains daily billing reconciliation report including daily reconciliation of Infusion treatments and charges. Ensures all necessary charges are reconciled on a daily basis and maintains daily billing reconciliation report
- Daily review and audit of Evaluation Management charges for office practice visits. Ensures that Evaluation Management charges are properly entered. Completes audits on a timely basis
- Continuous review of billing operation process to ensure compliance with Medicare guidelines. Ensures that billing operation is in compliance with Medicare guidelines
- Participates with billing and compliance staff on updates to billing for Infusion and office practice. Collaborate with Patients Accounts to resolve any billing discrepancies. Maintains and implements updates to billing charge form
- Updates necessary charges on a timely basis. Works with Patient Accounts to resolve infusion charge discrepancies. Maintains and updates billing charge forms as necessary
- Conducts in-service education for clinical staff to ensure appropriate billing practices are followed. Trains new employees on Epic software charge entry. Effectively trains all necessary staff in appropriate billing practices relating to Infusion
- Reviews charts for accurate documentation by nurses. Reviews chart documentation in a timely basis and reviews with nurse manager deficiencies in nursing chart documentation
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Revenue Cycle Analyst Resume Examples & Samples
- Adhere to compliance and departmental policies and procedures including compliance with 100% of HIPAA requirements, required trainings, and other Hospital mandated activities
- Function without supervision, request feedback appropriately, and initiate inquiries to gain additional understanding
- Work independently, take initiative, and think critically
- Supervise and train other analysts as needed
- Work collaboratively with a variety of departments within NYULMC and NYULMC contracted payers
- Ensure cash optimization and accounts receivable reduction activity is functioning to fullest capability
- Assist with providing constructive feedback and developing training tools
- Evaluate and escalate eligibility, authorization, billing, and claims processing inaccuracies to implement upstream solutions
- Coordinate audit activities to ensure timely submission of clear, organized deliverables for meetings including analyses, summaries, etc
- Maintain data integrity when manipulating data files for purposes of analysis to ensure data does not become corrupted through conscientious use of tools and a system of checks and balances
- Execute data mining and in-depth accounts receivable analysis
- Collect/analyze payer data to determine denial and underpayment trends for further review
- To qualify you must have a Bachelor’s Degree in business administration or healthcare administration or related field plus a minimum of two years of experience in healthcare or related field are required
- High level of analytical skills and dynamic communication skills (verbal and written) are required. Microsoft Excel and Word familiarity required
