Revenue Cycle Analyst

Role & responsibilities

Revenue Success Analyst:

This job description outlines a role responsible for overseeing a customer's RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met.

About the Role:

The ideal candidate should have advanced RCM knowledge, problem-solving abilities, and experience in resolving complex customer issues. They will collaborate with teams, lead billing operations, and report monthly performance.

Responsibilities:

• Oversee a customer's RCMS contract
• Ensure the smooth functioning of the revenue cycle across multiple business accounts
• Ensure key performance indicators (KPIs) are met
• Collaborate with teams
• Lead billing operations
• Report monthly performance
• Responsible for providing oversite of a customer's RCMS contract.
• They should have the ability to address multiple Markets of business accounts.
• They will ensure the revenue cycle is processing appropriately and KPIs are within expected parameters.

Knowledge & Application

• Exhibits advanced RCM knowledge.
• Posses wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer business requirements. 
• Provides solutions to issues in creative and effective ways. Understands the interrelationships of different EHR functionality and impacts. 
• Complexity & Problem SolvingTakes on and/or serves as advisor on complex customer issue analysis that requires evaluation of identifiable factors.
• Devises solutions based on limited information and precedent and adapts existing approaches to resolve issues.
• Uses advanced knowledge to evaluation, judgment, and interpretation to select right course of action.
• Assess agencies billing requirements, EDI files, and other RCM process, seek collaborative solutions, and prepare and present recommendations.
• Resolves concerns with team members with minimal support from leadership to ensure a productive revenue cycle.
• Collaboration & InteractionLeading an identified effort of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations.
• Excellent written and oral communication skills.
• Ability to think quickly and logically to ensure solutions identified.
• Strong attention to detail and follow-through skills.

Duties and Responsibilities

• Maintain & Coordinate billing operations and support actions with other team members. ]
• Lead efforts in payer and industry research impacting customers' businesses.
• Coordinate with team members to ensure metrics are met for contracts assigned.
• Maintain skills of Senior Billing Specialist; step in and help team members to maintain contractual KPIs.
• Monitor accounts for KPI performance and escalations.
• Creation of Month End Reporting and submission to provider practices.
• Assist in process development 
• Has substantial understanding of medical billing, revenue cycle, and applies knowledge and skills to oversee the customer(s)'s contract(s).
• Is able to identify trends, identify root causes, and design solutions with minimal support from leadership.

Qualifications:

A Bachelor's degree and 4-6 years of medical billing experience are required, along with excellent Excel skills and the ability to identify trends and design solutions independently.

Required Skills:

• Advanced RCM knowledge
• Problem-solving abilities
• Experience in resolving complex customer issues

Vadodara, Gujarat

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