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Revenue Cycle Analyst

3 months ago

Brentwood, United States Sound Physicians Full time
About Sound:

Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape - with patients at the center of the universe.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

  • Medical insurance, Dental insurance, and Vision insurance
  • Health care and dependent care flexible spending account
  • 401(k) retirement savings plan with a company match
  • Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
  • Ten company-paid holidays per year
About the Role:

The Revenue Cycle Analyst is responsible for the analysis of revenue cycle data including professional billing, vendor management, managed contracting and provider enrollment areas. This includes, but is not limited to, charge capture, accounts receivable, write offs, denials, and payers analysis (e.g. Medicare, Medicaid, Commercial, and Private Pay). The Revenue Cycle Analyst will assist in developing processes for optimal revenue cycle outcomes.

The Revenue Cycle Analyst will report to the Director of Revenue Cycle. The position is also responsible for assisting in the reviewing, verifying, and updating all demographic information in the SoundConnect Primary Care Provider (PCP) database.

The Details:

In this role, you will be responsible for:
  • Preparing and delivering client-specific and service line reporting related to claims, payments, accounts receivable and visit density
  • Maintaining department standard of productivity metrics related to claims processed, claims rejected, claims denied, collection volume and rates relative to fee schedules, patient payments, account write-offs due to contractual issues and collections problems
  • Through reporting and analytics, collaborating with provider enrollment to ensure timely completion of ACO and Telemedicine provider enrollments
  • Collaborating with ACO/Telemedicine operations, account management, and sales teams to gather, synthesize, and communicate relevant information to support performance targets
  • Preparing timely and accurate dashboard reporting on a weekly/monthly basis
  • Communicating key findings with supporting documentation to client stakeholders
  • Aiding in creating and monitoring models that connect strategies to measures of performance that ensure successful implementation
  • Providing analytical support and developing tools for department operations to enhance detecting both current and future performance issues
  • Developing and manipulating large data sets as well as analyzing data groups to assist in the development and implementation of process improvement strategies
What we are looking for:

A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:

Values:
  • Work Ethic - Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude
  • Communication: The ability to speak, write, and listen clearly and consistently
  • Relationship Building and Maintenance: The ability to create and nourish healthy, strong relationships, as the face of Sound
  • Teamwork: Demonstrates the ability to pull people together into highly effective teams along with ability to work in a highly matrixed organization
  • Critical Thinking: Demonstrates the ability to be proactive, anticipate needs; ability to make good decisions with incomplete, ambiguous information
  • Adaptability - Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable
  • Resourceful - Proactive willingness to utilize available information and tools to figure things out, not afraid to ask questions when necessary
  • Commitment - Demonstrates a dedication to the job, project, organization, customer/clients, and co-workers
  • Strategic Thinker:Demonstrates the ability to look at the big picture and proactively develop a plan of action
  • Self-Motivated:Proactively jumps in to start a task or project with limited direction; asks to take on more responsibility and what is next
  • Collaborative: Demonstrates the ability to work well with others to accomplish a goal and get the work done; takes opinions of others into consideration; includes others in the decision-making process
Knowledge:
  • Bachelor's degree in Business Administration or Healthcare Administration
  • Strong analytical and organizational skills
  • Excellent oral and written communication skills
  • Ability to multi-task and prioritize workload in a fast-paced environment
  • Advanced Excel skills
  • Working knowledge of healthcare payment models, physician practice management, revenue cycle, payer contracting, managed care models
Experience:
  • 1-3 years of experience in healthcare financial and revenue cycle analysis


Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

This job description reflects the present requirements of the position.As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.

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