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REVENUE CYCLE ANALYST

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JOB SUMMARY

The Revenue Cycle Analyst for Value-Based RCM, Inc. (VBRCM) is responsible for compiling data from various revenue cycle systems and related tools, performing detailed analysis and communicating findings in a manner that best highlights the results.  

MAJOR AREAS OF FOCUS

  • Medical Billing

  • Coding

  • Customer Service

  • Reimbursement

  • Denials

  • Clearing House

RESPONSIBILITIES

  • Develops, generates, and audits various revenue, financial, statistical and/or quality reports surrounding the revenue cycle. These reports may include revenue cycle timeliness, administrative scorecards, charge lag, daily charge reports, cash receipts, insurance denials tracking reports, accounts receivable aging, scheduling statistics or other operational reports as needed.

  • Develops charts, graphs, and numerical reports to display financial and statistical data.

  • Monitors the revenue cycle processes and meets with the departments to suggest process changes to improve the quality/financial results.

  • Analyzes accounts receivables and makes process improvement suggestions that may contribute to more effective, timely reimbursement and an efficient revenue cycle.

  • Analyzes trends in data and may recommend operational improvements to revenue processes such as verification of insurance, pre-scheduling treatments, obtaining referrals, medical record coding, and insurance payment processes.

KNOWLEDGE AND SKILLS

  • Ability to graphically display statistical data, create databases, manipulate data in spreadsheets, and generate reports from various databases

  • The ability to learn new applications is needed

  • Excellent analytical, problem solving, and communication skills

  • Knowledge of third-party regulations and the interrelationship with the financial reimbursement

  • Software implementation and project management skills

  • Practical and functional knowledge of RCM components

  • Thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third party reimbursements and contracts

EDUCATION AND EXPERIENCE

  • Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required

  • Proficient in Microsoft office (Excel, Word, and PowerPoint)

  • Previous experience in analytics required

  • Previous experience in medical billing preferred

  • Revenue healthcare cycle: 3 years (Preferred)

JOB LOCATION

Remote

PHYSICAL REQUIREMENTS

  • Prolonged periods sitting at a desk and working on a computer

  • Must be able to lift up to 15 pounds at times

JOB TYPE

Full Time

SALARY

$55,000 - $75,000 per year

BENEFITS

  • Paid time off

  • Work from home

  • Company-sponsored medical, dental and vision insurance

SCHEDULE

  • Monday to Friday

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