Senior RCM Analyst (7180)

Senior RCM Analyst

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.

The Sr. Analyst, Revenue Cycle provides business intelligence to Revenue Cycle Management and the Executive Leadership Team via data and reporting tools. This position is responsible for supporting Revenue Cycle Management operations via data extraction from Electronic Health Record database, data analysis, dashboard, and report build outs. This position will develop, design, implement, and maintain reports specific to healthcare claims submission performance, and effectiveness of healthcare revenue billing and collections. This includes the monitoring of Revenue Cycle data trends, identifying root causes and recommending work prioritization and solutions. This position reports to the Senior Director of Revenue Cycle Management.

The duties listed below are intended only as illustrations of the types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this classification.

• Analyzes and reports internally on service delivery and performance metrics in an initiative-taking and timely manner.
• Assists with identification of trends and other results of analysis with appropriate internal staff.
• Analyzes healthcare claims accounts receivables including trends, cash results, aging, bad debt and payment success.
• Assists with analyses of impact of new regulations or codes from a healthcare service code, compliance, and reimbursement perspective.
• Builds reports to monitor healthcare claims denials, reductions, rejections, and overpayments and works with Revenue Cycle Management Team to develop solutions
• Prepares revenue cycle reports, forecasting, and performs trend analysis for leadership.
• Creates, maintains and executes ad-hoc and scheduled reporting including, but not limited to: AR aging roll forward, cash receipts lag schedule (triangle), reserve analysis, healthcare claims dashboard/claims metrics, trend analysis, Clearinghouse claims inventory, provider claims with unbilled notes in EHR; and other reports as requested or needed.
• Participate in staff meetings, training, and other activities as required.
• Performs other duties as required and special projects as assigned.

Benefits & Wellness

• Multiple medical plans - including a no premium plan for employees and their families
• Multiple dental plans - including orthodontia
• Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
• 4 Weeks of paid time off in the first year
• Wellness program
• Pet Insurance
• Group life and disability insurance
• Employee Assistance Program for the Whole Family
• Personal and family mental and physical health access
• Professional growth & development - including scholarships, clinical supervision, and CEUs
• Tuition discounts with GCU and The University of Phoenix
• Working Advantage - Employee perks and discounts
  • Gym memberships
  • Car rentals
  • Flights, hotels, movies and more

Qualifications

• Bachelor's degree in business or health care administration, IS/IT, finance or related field. An equivalent combination of education and experience may be substituted for the educational requirement.
• Years experience 4+ years of providing clinical and/or business system support, data reporting and analysis in a health care setting. Report creation in an integrated (medical and behavioral) healthcare system or with a major EHR vendor (e.g., NextGen, Epic, Cerner). Experience in behavioral health a plus.
• Training preferred/required Working knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCs) and ICD-10-CM.
• Skills preferred/required Advanced skills in Microsoft based applications, including Excel and enterprise data warehouses
• Must have a valid Arizona driver's license, be 21 years of age with a minimum of 3 years driving experience, and meet requirements of Terros Health's driving policy
• Must pass background check, TB test and other pre-employment screening