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Revenue Cycle Analyst

4 months ago

Escondido, United States Neighborhood Healthcare Full time

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together._
- As a private, non-profit 501(C) (3) community health organization, we serve over 506,563 medical, dental, and behavioral health visits from more than 96,867 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance._
- Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you._

The Revenue Cycle Analyst will support management by maintaining, improving, processing, and evaluating the billing and collection of accounts receivables (AR) and/or resolve complex payer issues. This role will provide staff training, perform analytic assessments, generate reports, and provide operational support on all aspects of the revenue cycle. **_This is a hybrid position._**

**Responsibilities**
- Plans and coordinates assigned projects to ensure stated goals and objectives of projects are accomplished
- Researches and compiles revenue cycle related information for special projects
- Assists with the development of billing office policies, procedures, and guidelines
- Analyzes AR reports to identify problems on accounts and creates/monitors projects based on findings with appropriate teams, including researching the accounts/trends and taking appropriate actions to promote reimbursement
- Facilitates revenue cycle operations trainings for trainees, including software and tools used in the revenue cycle process
- Measures and evaluates progress and effectiveness of trainings provided to trainees, including drafting trainee performance reports for management
- Advises management on matters impacting the revenue cycle operations, including providing enhancement and remedial recommendations
- Conducts audits as assigned by the Revenue Cycle Manager
- Provides vendor oversight for timeliness and reimbursement reconciliation
- Coordinates meetings with management to review any trends or discrepancies with revenue cycle process
- Emphasize, demonstrate, promote, and adhere to excellent customer service skills, including professionalism, confidentiality, and proper etiquette
- Impacts patient experience by demonstrating courteous and helpful behavior and a commitment to accuracy
- Operates to instill confidence in our care and in our facilities to patients, fellow employees, and other stakeholders
- Establishes and maintains an action plan to improve the front office training program
- Develops strong relationships with Learning & Development and Operations and Billing Departments to improve workflows and receive feedback
- Works with Front Office Supervisors and Managers to ensure monthly ongoing front office trainings are implemented
- Monitors the operation of systems to ensure effective delivery of front office and billing operations
- Serves as resource for staff regarding policies, procedures, various funding sources, and others related front office items
- Maintains confidentiality in all aspects of client, staff, and company information
- Functions at highest level according to credentials and competencies
- Contributes to the success of the organization by participating in quality improvement activities
- Cooperates in accomplishing department goals and objectives

**Qualifications**

**Education/Experience**
- Bachelor’s degree or equivalent combination of education and experience
- Five years’ medical or FQHC billing experience required
- Two years’ project management experience preferred
- Certification from National Committee on Quality Assurance (NCQA) preferred

**Additional Qualifications(Knowledge, Skills and Abilities)**
- Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
- Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
- Knowledgeable about and experience with project management, principles and practices of organization, planning, records management, and general administration
- Ability to analyze, assess, and make problem solving decisions
- Ability to successfully manage multiple tasks simultaneously
- Excellent planning and organizational ability
- Ability to work as part of a team as well as independently
- Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements
- Ability to lift/carry 10