Revenue Cycle Performance Analyst

Role Description

As a Revenue Cycle Performance Analyst, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders—patients, providers, payors, and regulators—to achieve the best clinical outcomes.

• Interpret basic revenue cycle and financial data.
• Maintain databases and templates ensuring data integrity through monitoring and auditing outputs.
• Collect and assist in the analysis of qualitative/quantitative data reports extracted from various systems.
• Incorporate results of statistical and qualitative analyses utilizing Microsoft Excel, Word, Access, and PowerPoint.
• Proactively analyze data to identify and resolve potential issues that could have an adverse effect on revenue cycle performance.
• Apply concepts and tools of health care economics to enhance understanding of utilization, quality, and performance patterns across health care networks.
• Collaborate with management staff to provide rigorous analysis in support of RadNet revenue cycle operational objectives.
• Prepare reports to evaluate and interpret data to monitor performance, identify trends, and determine root causes of issues.
• Develop financial and statistical reporting to use in analysis, tracking, and trending of revenue cycle operation activities.

Qualifications

• Bachelor's degree in Accounting, Business, Finance, Healthcare Administration, Computer Science, or an equivalent combination of education and work-related experience.
• Effective at working both at a detailed data level and a strategic thinking level.
• Minimum 3 years’ experience with medical claim business system software.
• Minimum 3 years Health insurer industry experience, with business knowledge of benefits, claim systems, and adjudication principles.
• Minimum 3 years of medical and/or benefit policies, provider contract and/or employer plan designs, professional and facility claim processing, and medical terminology and industry standard code sets (CPT-4, ICD-9-CM, ICD-10, etc.).
• Minimum 3 years’ experience managing multiple assignments, independently determining solutions, and anticipating/preventing potential problems.
• Minimum 3 years’ experience in Microsoft Excel, and extensive use of data query logic.
• Expertise needed in EDI transaction exposure such as 270, 271 for healthcare benefits and eligibility, 276, 277 for claims status, 278 for transmitting health care service information, 837 for submitting claims, 835 for payments, 834 for benefit enrollment, and 820 for premium payments to insurance products.

Requirements

• Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
• Demonstrates initiative, personal awareness, professionalism, integrity, and exercises confidentiality in all areas of performance.
• Follows all local, state, and federal laws concerning employment to include but not limited to: I-9, Harassment, EEOC, Civil rights, and ADA.
• Follows OSHA regulations, RadNet, and site protocols, policies, and procedures.

Benefits

• Pay Range: $60,000-$70,000 per year