Revenue Cycle Analyst

To apply via text, text 6642 to (334) 518-4376

Summary: The Revenue Cycle Analyst – Reimbursement is responsible for analyzing and reporting on key business metrics in the Reimbursement department. This position has primary responsibility to track and report on data for business decisions, management, and productivity for multiple and varied business metrics such as Expiring authorizations and certifications, DSO, aged AR, timely filing, cash collections, and write offs. Reporting must factor in company policies and regulatory/payer compliance guidelines.

Summary of Duties & Responsibilities:

• Primary responsibility for analyzing and timely reporting of key Revenue Cycle metrics - prepares and maintains internal reports for Management review, including DSO, aged AR, write offs, and productivity measures with attention to detail, quality and accuracy
• Creates and maintains daily, weekly, monthly, quarterly and annual financial and operational reports, including trends, for key metrics to support good decision making and productivity/performance measures
• Oversees the communication of Expiring Authorization and Certification reports, including collaboration with branches and management on attaining benchmarks on their status/timeliness
• Produce reports for and interface with senior management and internal/external auditors
• Monitor data trends to proactively identify reimbursement issues
• Assists in the preparation and presentation of reports required for standing meetings for AR management and Financial Reviews
• Conducts specific assigned reviews of various billing, collection or cash application data and processes such as payer monitoring, aged accounts receivable, billing & collection timeliness
• Assists with internal audits as requested, including internal control testing
• Assists with special projects including, but not limited to, payer research or requirements for acquired entity integration to processes and systems
• Supports all performance improvement initiatives
• Maintains strictest confidentiality; adheres to all SOX and HIPAA guidelines/regulation

Skills/Experience:

• General knowledge of enterprise financial systems/software – McKesson Horizon desirable
• Ability to analyze large volumes of complex data and combine data from various sources
• Experienced with creation of reports through MS-Excel, MS-Access or other reporting tools
• Solid advanced skills in Microsoft Excel and Access ( Using workbooks, pivot tables, data management) and Word (creating documents and concise reports)
• Experienced with trend analysis in various functional areas (Health/HomeCare Revenue Cycle highly desired)

Requirements:

• Bachelors degree in Accounting/Finance or any combination of education and experience which would provide an equivalent background
• Minimum 2 years of statistical or data analysis experience
• Advanced computer proficiency including Microsoft office and Access (ie. Excel, Word, and Outlook)
• Experience in database structures, and standard query and reporting tools
• Ability to manipulate large sets of data and present the data in user friendly reports, including trending, required
• Solid communication skills, including ability to document and communicate basic data as well as data trends, and any financial or operational issues identified through the data analysis process
• Familiarity with healthcare data, payers, and billing/collections systems preferred

To apply via text, text 6642 to (334) 518-4376

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