Professional Revenue Cycle Analyst

1 month ago


Hasbrouck Heights, United States Hackensack Meridian Health Full time

Overview:
Our team members are the heart of what makes us better.

At Hackensack Meridian _Health_ we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Revenue Cycle Analyst will support the revenue cycle operations by providing expertise in front-end best practice operations, monitor key operational indicators related to cash flow, reconciliation of charges and services rendered, and performs detailed denial analyses including reconciliation of payments at the time of service against posted payments. The Revenue Cycle Analyst will be responsible for overseeing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection ensuring the overall integrity of the charge capture process; providing onsite support and assistance for new practices; working directly with HUMG Administrative Directors, Operations Managers and non-clinical staff supporting HUMG doctors' offices on developing and maintaining solvency within each practices revenue cycle. This position performs high level analysis of accounts receivable and uses considerable judgment to determine solution and seeks guidance on complex problems. All tasks must be performed in a timely and accurate manner.

**Responsibilities**:
A day in the life of a Professional Revenue Cycle Analyst with Hackensack Meridian Health includes:

- Responsible for the assessment of front-end operations and subsequent recommendations to improve revenue outcomes, assisting with the identification of front end operation improvements in the Faculty Practices.
- Reviews, monitors, and assists in the explanation of monthly revenue performance against budget and benchmark criteria, prepare revenue analysis in order to maximize reimbursement
- Communicates revenue performance to the department and help in identifying/implementing improvement opportunities.
- Monitors the Ambulatory Open Encounters report to ensure that charges are submitted timely.
- Analyzes billing error and denial data to identify root causes.
- Conducts internal audits and reviews activities to improve the revenue cycle, claims production and coding integrity;
- Analyzes and improves the performance of front-end billing operations through development and monitoring of performance criteria related to;
- Front end patient data acquisition and management;
- Appointment scheduling, patient registration, insurance verification, data entry, charge and diagnosis assignment and charge capture activities;
- Front-end billing operations key indicators, including denial trending analyses and co-pay collection;
- Error reports, claim processing reports, accounts receivable reports and any pertinent ad hoc reports.
- Educates department and related divisions on revenue cycle standards. Provides timely feedback of key performance indicators; training staff on workflows and EPIC Charge and Edit work queues
- Identifies problems in the process flow or organizational structure that impedes financial outcomes, proposes solutions, and collaborates with department to implement corrective action, including;
- Provide onsite support and assistance to assigned practices; observe workflows and assist with the identification of front end operation improvements that will improve the revenue cycle;
- Allocation of resources related to front end function;
- Training of front end staff related to key revenue cycle functions;
- Availability and use of technology and automated tools that support revenue initiatives;
- Enforcement or revision of policies and procedures.
- Performs financial management for the department.
- Monitor the current monthly revenues & communicates results through variance reports.
- Review financial performance through AR analysis and other reports.
- Analyze these variances and identifies opportunities for improved results.
- Performs reimbursement management.
- Analyze payer reimbursement to ensure proper claims adjudication.
- Monitor payment denials, reductions and rejections to determine operational or coding problems.
- Initiates CPT-4 analysis, per provider, to determine shifts in services and payer mix.
- Meets regularly with assigned departments to communicate findings and recommendations to improve revenue management and revenue enhancement
- Utilizes historic and current data to monitor and track performance and trends, and escalates risks and issues in order to improve the business and advance service level agreement commitments
- Responsible for quality AR metrics and creates action plans as needed
- Assists with the ongoing management of EPIC as it relates to



  • Hasbrouck Heights, United States Hackensack Meridian Health Full time

    Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one...


  • Hasbrouck Heights, United States Hackensack Meridian Health Full time

    Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one...


  • Hasbrouck Heights, United States Hackensack Meridian Health Full time

    Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one...


  • Hasbrouck Heights, United States Hackensack Meridian Health Full time

    Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one...


  • Fairview Heights, United States Hoyleton Youth and Family Services Full time

    Job DescriptionJob DescriptionHoyleton Youth and Family Services in Fairview Heights, IL believes in empowering individuals to reach their full potential. We couldn't offer our compassionate, comprehensive support without vital funding from external agencies, and that's why we need you! Join us as our full-time Revenue Cycle Management Senior...


  • Shaker Heights, United States Coloplast Full time

    Coloplast Corp. Senior Financial Analyst Minneapolis , Minnesota Apply Now Senior Financial Analyst Location: Minneapolis, MN, US Job Family: Finance Country/Region: United States The Senior Financial Analyst will be the key finance partner for Comfort Medical. The Senior Analyst will be responsible for reporting actuals, forecasting, variance analysis, and...

  • Revenue Cycle Manager

    2 weeks ago


    Citrus Heights, United States Oakwood Meadows Assisted Living Full time

    **Do you have experience in Business Office Management with a focus on Accounts Receivables? Are you organized with attention to detail? Proactive and consistent? Do you want to work in a great environment of positive, compassionate co-workers in a beautiful building conveniently located in Citrus Heights, CA?**: **Don't pass up this opportunity to become...


  • Sterling Heights, United States Apollo Professional Solutions Full time

    Job Description Configuration Analyst I Sterling Heights, MI Contract - 1st shift, 9/80 Pay Rate:$39.01/Hr. Benefits:overtime, medical, dental, vision, 401k REQUIRMENTS:Configuration Analyst I US Citizenship Bachelor's degree in Industrial Engineering or Systems Engineering, or similar 4+ Years with HS 2+ Years with AA 0+ Year with BS Good computer skills...

  • Business Analyst

    1 week ago


    Colonial Heights, United States Info Matrix Corp Full time

    Info-Matrix Corporation is currently seeking a skilled Business Analyst to join our team!   POSITION SUMMARY: The Business Analyst will develop, manage, test and document system, application, and data requirements. The Business Analyst manages activities relating to the gathering of requirements and building automated testing scripts. The BA co-ordinates...


  • Airway Heights, United States Spokane Tribe Casino Full time

    Join Our Team as a Revenue Auditor at Spokane Tribe Casino! Are you ready to dive into the exciting world of casino revenue? We're seeking a motivated and detail-oriented Revenue Auditor to join our Finance team at Spokane Tribe Casino. If you're a numbers-savvy individual with a passion for accuracy and compliance, this is the opportunity for you! Why...

  • Credit Analyst III

    4 days ago


    Arlington Heights, United States Creative Financial Staffing Full time

    Senior Credit Analyst - Commercial Underwriting Our client in the Financial Services Industry is seeking a Senior Credit Analyst to join their growing team. This org is a part of a large billion dollar publicly traded firm. Organization grew from $100MM in revenues to over $1B over a 15 year period. The northwest suburban office has 180 employees total and...


  • Fairview Heights, United States Internal Revenue Service Full time

    Management and Program Analyst - 6 Month Roster May 21, 2024 Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION? A description of the business units can be found at: Six (6) vacancies will be filled in the following specialty areas: Information Technology Enterprise Operations The following are the duties of this position at the full working level:...


  • Shaker Heights, United States University Hospitals Pain Management Full time

    Description Position Summary Position responsible for submitting and resolving medical claims moderate to high complexity. Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including...

  • Sales Analyst

    4 days ago


    Glendale Heights, United States BGSF Full time

    BGSF has joined with a manufacturing company in search of a Sales Analyst in a temp-to-hire position. ESSENTIAL DUTIES AND RESPONSIBILITIES Own the TABLEAU reporting system. Maintain the current system daily, assist team members with training, look for improvement/refinement opportunities, and evaluate effectiveness of the system annually. Manage sales web...


  • Glendale Heights, United States LHH Full time

    LHH is looking to hire a senior analyst, FP&A for our client's growing team in Glendale Heights, IL. As a Senior Financial Analyst, you will be responsible for analyzing both revenue and expense streams, preparing insightful financial reports, and contributing to various ad-hoc projects.Responsilbites:Develop and maintain monthly management reports,...


  • Glendale Heights, United States LHH Full time

    LHH is looking to hire a senior analyst, FP&A for our client's growing team in Glendale Heights, IL. As a Senior Financial Analyst, you will be responsible for analyzing both revenue and expense streams, preparing insightful financial reports, and contributing to various ad-hoc projects.Responsilbites:Develop and maintain monthly management reports,...

  • Business Analyst

    2 weeks ago


    Sterling Heights, Michigan, United States SAIC Career Site Full time

    Description SAIC is currently seeking a motivated, career and customer-oriented Senior Business Analyst/Scrum Master to join our team based out of Sterling, VA and begin an exciting and challenging career with SAIC Federal Systems. This position is in support of U.S. Customs and Border Protection (CBP) ITI Program supporting team members across the United...

  • Sales Analyst

    1 week ago


    Glendale Heights, United States BGSF Full time

    BGSF has joined with a manufacturing company in search of a Sales Analyst in a temp-to-hire position. ESSENTIAL DUTIES AND RESPONSIBILITIES Own the TABLEAU reporting system. Maintain the current system daily, assist team members with training, look for improvement/refinement opportunities, and evaluate effectiveness of the system annually.Manage sales web...

  • Sales Analyst

    1 week ago


    Glendale Heights, United States BGSF Full time

    BGSF has joined with a manufacturing company in search of a Sales Analyst in a temp-to-hire position. ESSENTIAL DUTIES AND RESPONSIBILITIES Own the TABLEAU reporting system. Maintain the current system daily, assist team members with training, look for improvement/refinement opportunities, and evaluate effectiveness of the system annually.Manage sales web...

  • Billing Analyst

    2 weeks ago


    Arlington Heights, Illinois, United States SET Environmental Inc Full time

    POSITION DESCRIPTION A Billing Analyst at SET Environmental is responsible for: Preparing customer billing upon completion of field projects Reviewing job files while coordinating paperwork with Operations, Customer Service and Sales to ensure accurate and timely billing Preparing revenue accruals for jobs in progress at month-end close Processing billing...