Revenue Cycle Operations Analyst

DUTIES & RESPONSIBILITIES:

• Responsible for all data files processing in a timely and accurate manner for the following areas: Daily Import, TriZetto files, Debt Set off, Collection Agency, and other established outside vendors.
• Responsible for production of weekly and monthly department reports, including staff production and AR performance with the ability to identify areas of correction, and to then establish and implement a management approved resolution supporting optimal performance.
• Performs data analysis to extract requirements, identify data inaccuracies, and to ensure accurate processing and reporting.
• Develops data collection methods and strategies for data management, coordinates participant tests and procedures.
• Participates in the identification, justification and articulation of need for improvement efforts. Serve as a process/functional representative to establish new processes and/or resolve problems. Lead the effort to understand and communicate process implications of the revenue cycle challenges. Organize the effort to manage the potential problems for the process perspective until resolution.
• Works effectively as a department and agency subject matter expert on project teams, meeting deadlines in accordance to project manager's expectations; on occasion may serve as project lead when appropriate.
• In-depth knowledge of ambulance medical billing and procedures; and submission of insurance claims.
• Understands and has experience with all functions of healthcare revenue cycle, with the ability to apply specific methodologies for desired outcomes, to include EMS claims billing for government and commercial payors.
• Maintain a working knowledge of CMS regulations, third party payors, and changes to insurance laws, with the ability to perform compliance audits.
• Routinely perform follow-up evaluations of data to ensure consistent organizational and individual performance and improvement.
• Strong analytical, interpersonal, customer service, communication, and problem-solving skills.
• Must have strong computer skills for data maintenance including Excel Pivot tables, Access Database, Minitab, CSV, ASCII, Tableau.
• Provides application support and troubleshoot problems when they arise to support department operations.
• Demonstrate the Business Office Core Values of integrity, teamwork, dedication, quality, decision-making, communication, and creative thinking. Coordinates and maintains Tritech Billing software updates with Department Supervisor, as well as end user testing to identify appropriate training and education needs for the department. Assessment may be done through surveys, interviews, focus groups and communication with managers, instructors and customer representatives.
• Analysis, design and development of revenue cycle reports. Includes compiling, creating and analyzing weekly and monthly department reports for Finance and Finance Committee such as finance run charts and third-party denials from third party payers.
• Update patient accounting database and resolve discrepancies, serving as support for revenue cycle staff with process and technology initiatives.
• Demonstrates advanced knowledge and serves as subject matter expert for all areas of the department, serving as back-up within various roles to maintain production standards when needed.
• Create, organize, plan and present various forms of onboarding, orientation and skills training for employees. Present training and development programs using various formats, while maintaining knowledge of the latest trends.
• Create, organize and update department policies and procedures periodically and as necessary.

EDUCATION & EXPERIENCE:

• Bachelor's in healthcare administration or accounting preferred; healthcare administration analytics experience preferred.
• Five years of Revenue Cycle experience required.
• Strong analytical and problem-solving skills. Prioritize assignments and manage multiple deadlines.
• Provide high-quality output with minor input from leadership. Ability to work in a team environment. Ability to work independently to complete assigned duties.
• Proficiency with all Microsoft Office Suite programs, proficiency with Revenue Cycle software solutions, Local debt set-off programs such as Five-Star Computing, Revenue Recovery programs such as Solutions Group, File Transfer Protocol, Minitab, and Business Intelligence tools such as Tableau.

SPECIAL WORKING CONDITIONS: This position may be considered essential personnel depending on the need of agency operations. While performing duties of the job, the individual may be regularly required to sit for prolonged periods, maintain hand and finger dexterity, view a computer screen for extended periods, listen to and comprehend instructions, sustain concentration for tasks requiring attention to detail, and occasional reach, stoop, kneel, stand, walk, crouch or crawl. While performing duties, may be required to lift or carry light objects, typically up to 25 pounds.


PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit for prolonged periods, maintain hand and finger dexterity, view a computer screen for extended periods, listen to and comprehend instructions, sustain concentration for tasks requiring attention to detail, and occasionally reach, stoop, kneel, stand, walk, crouch or crawl. While performing the duties of this job, the employee may be required to lift or carry light objects, up to 25 pounds

Interested applicants must complete the following steps to be considered for the position. Applications will be accepted until the position is filled.

• Complete the online application and upload a resumein the UKG recruitment portal

SALARY RANGE. Starting at $32.77/hour, with additional compensation based on relevant experience.

If you have any further questions please contact MEDIC Recruitment at View email address on click.appcast.io

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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