Revenue Cycle Analyst Lead

14 hours ago

Alexandria LA United States Academy of Managed Care Pharmacy Full time

Summary:

This Job is responsible for the management and analysis of revenue cycle initiatives including the extraction and analysis of data impacting the healthcare revenue cycle, but not limited to claim submission, revenue billing applications, accounts receivable, bad debt, denials, and payors analysis (Medicare, Medicaid, Managed Care, Commercial). The Revenue Cycle Analyst III will collaborate with other key functions including healthcare center financial and clinical departments, as well as regional and corporate services to ensure effective and efficient processes for optimal revenue cycle outcomes. This exciting position may have opportunities to work on emerging revenue cycle issues and special projects such as ICD-10 Implementation, Audit Analysis, Process Improvement, Metrics Development and Maintenance, Charge Description Master, Regulatory Compliance, and other revenue cycle initiatives.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Support existing capabilities related to the standardization and process improvement initiatives within the revenue cycle.
  • Participates in special revenue cycle projects such as ICD-10 Implementation, Audits Analysis, Compliance Initiatives, Application Strategy, Process Standardization, Cost Benefits Analysis, and Six Sigma Improvement Initiatives.
  • Accurately collect, synthesize, and communicate timely relevant information through the system to support strategies.
  • Produce, deliver, and present collected data and information to any level of leadership in the organization.
  • Assists and directs the development, automation, and maintenance of key indicators and metrics that link strategies to measure performance (financial and non-financial).
  • Perform analysis required for financial opportunity assessments for hospitals to identify opportunities to improve revenue cycle performance.
  • Researches a variety of complex and/or regulatory issues impacting the revenue cycle and recommends processes to enhance financial and quality performance while meeting compliance requirements.
  • Understand and communicate the interrelationships between the measures and simulate the effects on business strategy.
  • Performs research on best practices and national benchmarks in the revenue cycle for the healthcare industry to assist in the standardization of goal-setting performance monitoring.
  • Provide support and guidance for the development and execution of plans to standardize policies, procedures, and systems throughout all revenue cycle departments and information systems.
  • Provide support in creating and monitoring models that link strategies to measures of performance (financial and non-financial) that ensure successful implementation.
  • Provide analytical support to and develop tools for hospital operations to enhance their skills in detecting both current and future performance issues.
  • Develop and manipulate large data sets as well as analyze segments and data groups to assist in the development and implementation of strategies.
  • Cultivate internal relationships at the corporate and facility level to gain support and participation in initiatives including Revenue Cycle Leadership, PFS Leadership, Managed Care, Decision Support, and other Corporate and Facility Departments.
  • Cultivate external relationships to gain new knowledge and competencies.
  • Conform with and abide by all regulations, policies, work procedures, and instructions.
  • Utilize strong computing ability to balance multiple tasks.
  • Function as a contributing and effective member of the team.
  • Analyze and prepare special projects as needed.
  • Performs other duties and special projects as assigned.

Job Requirements:

Education/Skills

  • High School diploma or equivalent years of experience required.

Experience

  • 5 - 7 years of experience preferred.

Licenses, Registrations, or Certifications

  • None required.

Work Schedule:

TBD

Work Type:

Full Time

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