Revenue Cycle Analyst

4 - 6 years

3 - 5 Lacs

Posted:2 days ago| Platform: GlassDoor logo

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On-site

Job Type

Part Time

Job Description

Job Description:
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
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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