Revenue Cycle Analyst I

2 months ago

Detroit, United States Karmanos Cancer Institute Full time

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S. The Revenue Cycle Analyst I is responsible for the review, education, maintenance, reporting and improvement of all aspects of the Revenue Cycle. This includes the monitoring of Revenue Cycle systems, development of reports and data sets, analyzing revenue, provide education, identify root causes and recommend/design improvements. The Revenue Cycle Analyst I will report directly to Process Improvement. Essential Functions and Responsibilities: 1. Responsible for more than two (2) Analyst job assignments in the CBO 2. Accountable for at least one Patient Financial Services Activity: - Reporting/Data Extraction - Analytics - System Implementation/Software Administration - Reporting/ Tracking - Training/Education - Process Improvement - System Maintenance 3. Analyze front-end delays and problems related to complete and accurate information needed for timely billing. 4. Monitor and improve the insurance verification and point of service collection process.

ENROLLMENT • Leads and assists with maintaining and updating enrollment paperwork for EDI, ERA and EFT applications to support ongoing projects. Works in collaboration with CBS operations, payers and vendors to obtain supporting documentation and information required for related enrollment programs. • Compile and maintain current supporting documentation and information for each facility (hospital, urgent care center, rural health clinic, etc.). Including but not limited to enrollment/payer set up, bank information, provider-based and RHC locations, contacts, etc. • Prepare, maintain, and respond to payer requests for accuracy of facilities (hospitals, urgent care center, rural health facilities, etc.) Obtains, maintains, and monitors remittance and claims reports to identify gaps in enrollment processes • Coordinates with credentialing and contracting teams to complete enrollments for ongoing initiatives i.e. RHC implementation

Minimum : Bachelor’s degree required or equivalent combination of education and relevant experience may be acceptable One to two years related revenue cycle experience or one to two years consulting in systems or training for data analytics Proven skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculator with high level of quality outcomes Preferred :

Working knowledge of CPT, HCPCS, and ICD-10 One to two years’ experience in hospital financial services or patient service Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information Schedule: Full-time Requisition ID: 24004499 Daily Work Times: 7-5:30 On Call: No Equal Opportunity Employer

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law. Previous Job Searches

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Create and manage profiles for future opportunities. McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.

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