REVENUE OPTIMIZATION ANALYST

Description

JOB DESCRIPTION

DEPARTMENT: FINANCE

JOB TITLE: Revenue Optimization Analyst

I. BASIC FUNCTION:

The Revenue Optimization Analyst/Accountant is responsible for managing and analyzing financial operations while supporting healthcare purchasing, revenue-cycle activities, medical billing, coding, and reimbursement optimization. This position combines accounting, financial management, revenue analysis, healthcare billing, and operational oversight to ensure accurate financial reporting, effective internal controls, regulatory compliance, and maximization of organizational revenue. The role oversees key accounting functions including general ledger management, accounts payable, payroll, bank reconciliations, treasury management, budgeting, grants management, financial reporting, and revenue-cycle optimization.

II. INTRADEPARTMENTAL RELATIONSHIPS:

Department Officer: Chief Financial Officer Reports to: Chief Financial Officer Works closely with: Senior Executives, Departments, and Senior Administrative Assistant Supervises: None

III. PRIMARY RESPONSIBILITIES:

General Accounting & General Ledger Management Manage and maintain the general ledger, ensuring accurate and timely recording of financial transactions. Prepare and post journal entries, accruals, adjustments, and recurring entries. Perform monthly, quarterly, and year-end account reconciliations. Review account balances and investigate discrepancies and unusual transactions. Maintain accurate supporting documentation and accounting records. Assist with month-end and year-end closing processes. Ensure compliance with applicable accounting standards, organizational policies, and internal controls. Accounts Payable & Payroll Manage accounts payable processes, including invoice review, coding, approval, payment processing, and vendor reconciliation. Maintain accurate vendor records and monitor outstanding payables. Review payroll-related accounting entries and reconcile payroll reports to the general ledger. Coordinate payroll processing and ensure accurate recording of wages, benefits, taxes, and payroll liabilities. Research and resolve payroll and accounts payable discrepancies. Financial Reporting & Analysis Prepare monthly, quarterly, and annual financial statements and management reports. Develop financial analyses, budget-to-actual reports, forecasts, and variance analyses. Provide management with financial insights and recommendations to support strategic decision-making. Analyze revenue, expenses, cash flow, accounts receivable, and financial performance. Develop and monitor key financial and operational performance indicators. Revenue Optimization Analyst Page 2. Support internal and external audits by providing financial schedules, documentation, and explanations. Budgeting & Forecasting Develop and maintain annual operating budgets in collaboration with management and department leaders. Monitor departmental and organizational spending against approved budgets. Prepare budget-to-actual analyses and investigate significant variances. Assist with financial forecasting and long-range financial planning. Recommend cost-control and resource-allocation strategies. Grants Management Manage the financial aspects of grants from award through closeout. Monitor grant budgets, expenditures, revenue, and allowable costs. Prepare grant financial reports and reimbursement requests. Track restricted and unrestricted funding and ensure proper allocation of grant-related expenses. Maintain documentation necessary for grant compliance and audits. Collaborate with program staff and grant administrators to ensure expenditures align with grant requirements. Monitor grant balances, deadlines, reporting requirements, and funding restrictions. Treasury Management & Bank Reconciliation Monitor organizational cash balances, liquidity, and cash-flow requirements. Support treasury management activities, including cash positioning, transfers, deposits, and disbursements. Prepare and review monthly bank reconciliations. Investigate and resolve outstanding checks, deposits, electronic transactions, and other reconciling items. Monitor banking activity and maintain appropriate cash-management controls. Assist with cash-flow forecasting and short- and long-term liquidity planning. Healthcare Revenue Cycle, Billing & Coding Analyze healthcare revenue, accounts receivable, reimbursement, payment trends, and payer performance. Review medical claims, billing records, and coding for accuracy and completeness. Identify revenue leakage, underpayments, billing discrepancies, coding errors, and missed reimbursement opportunities. Monitor claim submission, payment, denial, and rejection trends. Review CPT, HCPCS, ICD-10-CM, and modifier usage as applicable. Analyze payer reimbursement and identify opportunities to improve revenue. Collaborate with billing and coding teams to resolve claim issues and reduce denials. Monitor accounts receivable aging, collections, reimbursement rates, and other revenue-cycle metrics. Develop recommendations to improve billing accuracy, cash flow, reimbursement, and revenue performance. Revenue Optimization & Financial Analysis Identify trends and opportunities that affect organizational revenue and profitability. Analyze pricing, reimbursement, collections, payer performance, and revenue-cycle efficiency. Investigate financial and operational variances and recommend corrective actions. Develop reports and dashboards to monitor revenue performance. Partner with operational leaders to implement process improvements that reduce revenue leakage and improve financial performance. Evaluate the financial impact of operational decisions and recommend strategies to optimize Revenue Optimization Analyst Page 3. resources and revenue. Compliance & Internal Controls Maintain strong financial controls over accounting, billing, cash management, payroll, grants, and revenue-cycle activities. Ensure financial and billing practices comply with applicable laws, regulations, payer requirements, grant requirements, and organizational policies. Protect confidential financial and patient information. Support internal and external audits and assist with corrective-action plans when necessary. Identify control weaknesses and recommend process improvements.

PURCHASING:

Identifies requirements and amounts for goods and services needed for the operations of Family Care Health Centers activities based on inputs from supervisors, department heads and administration. Research to determine appropriate sources for various goods and services required for the operation of all Family Care Health Centers activities. Solicits bids, quotes or prices for goods and services for all activities based on the policies and procedures of the organization. Based on Family Care Health Centers policies and procedures identify and recommends vendor for the purchase of goods and services. Assigns Purchase Order numbers to Purchase Requisitions to ensure proper and timely tracking of all purchases or present contract for review. Submits Purchase Requisition form for required signatures and properly distributes the purchase order form or present contract for review and signatures and makes appropriate copies for filing. Assists in monitoring supply levels and establishing reorder points.

RECEIVING:

Monitors orders until they arrive to ensure timely delivery of goods and services and work to correct problems with receiving items until the proper goods and services are received. Ensures all items received are appropriately signed for by the receiving department/individual. Assists in the distribution of all purchases to the appropriate department/individual. Tracks and follows up on all items that are on back order.

ASSET MANAGEMENT:

Maintains an asset management schedule with detailed information as assets are added and disposed to/from operations. Assigns unique identification numbers to newly acquired assets. Routinely audits satellite sites to ensure assets are being utilized. Assists management in identifying need and location of assets. Ensures the accuracy of accounting for all organizational assets. Updates depreciation schedule monthly/quarterly.

FINANCIAL:

Works with Accounts Payable to ensure appropriate supporting documentation is attached to the invoice for payment. Assists in verifying the purchase price amounts per quote to the actual invoice. Works with Accounts Payable to ensure items are properly coded in the General Ledger Works with vendors to resolve any discrepancies (Type of Good, Quantity, Price, etc.) Revenue Optimization Analyst Page 4.

OTHER PROCEDURES:

Prepares various schedules/spreadsheets on an as needed basis Responsible for other duties as assigned.

IV. PERIODIC DUTIES:

Attends continuing education opportunities as appropriate. Performs other duties as assigned.

V. WORKING RELATIONSHIPS:

Inside Health Center: All inclusive. Outside Health Center: Suppliers and vendors. Federal and state funding and regulatory agencies, payors, and other community health centers.

VI. APPROVED WORK LOCATIONS:

Carondelet Dutchtown Forest Park Southeast University City Rung for Women Places for People Any other approved locations added in the future.

VII. QUALIFICATIONS:

Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field required or preferred. Progressive experience in accounting, finance, healthcare revenue cycle, medical billing/coding, or financial analysis. Strong knowledge of general ledger accounting, financial reporting, budgeting, accounts payable, payroll, treasury operations, and bank reconciliation. Experience with grants management and financial compliance preferred. Knowledge of healthcare billing, coding, claims processing, reimbursement, and revenue-cycle management. Familiarity with ICD-10-CM, CPT, HCPCS, and healthcare payer requirements. Advanced Excel and financial reporting/analysis skills. Strong analytical, organizational, problem-solving, and communication skills. Ability to manage multiple priorities, meet deadlines, and work independently. Strong understanding of confidentiality, financial controls, and data integrity.

VIII. PREFERRED CERTIFICATIONS:

Certified Public Accountant (CPA) Certified Professional Coder (CPC) Certified Coding Specialist (CCS) Certified Revenue Cycle Representative (CRCR) Revenue Optimization Analyst Page 5. Certified Healthcare Financial Professional (CHFP)

IX. PHYSICAL REQUIREMENTS:

Regularly required to sit for extended periods while working at a computer, reviewing financial and billing documents, and performing data entry. Regular use of hands and fingers to operate a keyboard, calculator, computer mouse, and other office equipment. Must be able to communicate clearly in person, by phone, and electronically to discuss financial, payer, and patient information, resolve discrepancies, and collaborate with internal departments. Must be able to read and interpret financial and billing statements, spreadsheets and detailed numerical data. Ability to life and carry office materials such as binders, files, or small boxes typically weighing up to 10-20 pounds. Occasional standing, walking, bending, or reaching to retrieve files, access office equipment, or attend meetings.

X. CONFIDENTIALITY:

Respect for and maintenance of client and staff confidentiality is required. The employee must comply with all applicable federal and state privacy regulations, including the Health Insurance Portability and Accountability Act (HIPAA) and the Family Educational Rights and Privacy Act (FERPA), in all aspects of client care, communication, and recordkeeping within the school-based health setting. for and maintenance of client and staff confidentiality is required. #J-18808-Ljbffr Family Care Health Centers