Revenue Cycle Management Analyst

Summary

Premise Health provides healthcare services to large organizations and their people. The Revenue Cycle Management Analyst supports payment posting and reconciliation, billing, credit balances, reporting, quality assurance, workflow optimization, and analytics while managing accounts through practice management and billing systems and collaborating with internal teams and vendors.

Responsibilities

• Provides direction for payment posting and reconciliation, billing, and credit balance related services through collaboration with: customers, associates, clinics, internal departments, vendors, etc
• Analyzes and assesses Revenue Cycle reports, workflows, and processes
• Assesses the business use and functions of Revenue Cycle application systems providing recommendations for optimization as necessary
• Supports and assists teammates in assigned area(s) in identifying and troubleshooting Revenue Cycle related problems and provides recommendations for resolution
• Identifies and reports on Revenue Cycle trends affecting reimbursement
• Analyzes all forms of Revenue Cycle Billing and/or payment transactions
• Ensures timely and accurate posting, balancing, and reconciliation of all payments; Oversight of lockbox receipt
• Monitors daily cash reconciliation reports of payments posted and ensures that all batches posted daily correspond to amounts deposited; assures that variances are corrected in a timely manner; works collaboratively with the finance and client billing teams
• Researches Revenue Cycle bottlenecks and recommends/implements corrective action plans
• Runs, reviews, interprets, analyzes, and validates Revenue Cycle reports
• Possesses the ability to run standard Revenue Cycle and operations reports to answer questions from department/practice managers, vendors, physicians, and other Revenue Cycle stakeholders
• Performs quality assurance audit
• Oversee daily clearinghouse reports, unbilled claims- tracking, trending known issues, and implementing resolutions
• Research and resolve credit balances
• Process and monitor the electronic remittance files to ensure accuracy
• Maintain and/or enforce security procedures to ensure safety of funds
• May require other duties as assigned

Skills

• Minimum 3 years Revenue Cycle experience
• Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions
• Knowledge of revenue cycle principles and practices, the ability to systematically interpret functional requirements into applications design
• Knowledge of patient accounting processes from scheduling through final account disposition
• Possess strong analytical, problem solving, and decision-making skills
• Effectively utilize Microsoft Office tools (Excel, Word, and PowerPoint)
• Highly developed written and verbal communication skills
• Must be able to work independently in a manner to achieve goals, objectives and productivity requirements
• Strong background working in practice management system(s)
• Must demonstrate strong organizational and critical thinking skills
• Possesses excellent comprehension and retention skills
• Requires the ability to read and understand complex custom network or contract terms and the ability to communicate and/or resolve the deficiencies with both internal and external customers
• Strong ability to work cross functionally between departments to build relationships and analyze reports or data and presenting it in a way that is comprehensive to all relevant parties
• Bachelor's degree in business, healthcare, finance, computer science or related field preferred

Qualifications

Must Haves

• Minimum 3 years Revenue Cycle experience
• Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions
• Knowledge of revenue cycle principles and practices, the ability to systematically interpret functional requirements into applications design
• Knowledge of patient accounting processes from scheduling through final account disposition
• Possess strong analytical, problem solving, and decision-making skills
• Effectively utilize Microsoft Office tools (Excel, Word, and PowerPoint)
• Highly developed written and verbal communication skills
• Must be able to work independently in a manner to achieve goals, objectives and productivity requirements
• Strong background working in practice management system(s)
• Must demonstrate strong organizational and critical thinking skills
• Possesses excellent comprehension and retention skills
• Requires the ability to read and understand complex custom network or contract terms and the ability to communicate and/or resolve the deficiencies with both internal and external customers
• Strong ability to work cross functionally between departments to build relationships and analyze reports or data and presenting it in a way that is comprehensive to all relevant parties

Nice to Haves

• Bachelor's degree in business, healthcare, finance, computer science or related field preferred

Benefits

• Medical, dental, vision, life and disability insurance
• A 401(k) program with company match
• Paid holidays and vacation time
• A company-sponsored wellness program
• EAP
• Access to virtual primary care and virtual behavioral health at no cost for team members and their dependents
• For individuals living in Washington or Colorado: Employees will earn 0.0692 hours of paid time off per actual hours worked or based on standard schedule, per pay period
• For individuals living in Washington or Colorado: 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year
• For individuals living in Washington or Colorado: Paid sick leave is satisfied by the paid time off accrual, detailed above.