Revenue Cycle Analyst

4 weeks ago

San Francisco, United States University of California Full time
Revenue Cycle Analyst

CNR Rad Onc BOPC

Full Time

78189BR

Job Summary

Under the direction of the Radiation Oncology Revenue Cycle Manager, the Revenue Cycle Analyst provides complex analytical support for the accurate capture of all clinical billing data, reporting, support and correct and optimal reimbursement for clinical revenue. The Analyst audits and records all Radiation Oncology treatment charges, proactively coordinates with Medical Center Billing agents and Clinical Staff to help resolve and remedy Radiation Oncology Billing and Reimbursement issues.

The Analyst also reviews payer and modality specific revenue productivity reports to help identify revenue underpayment issues, and make recommendations for Radiation Oncology revenue improvements. The Analyst takes a lead role in reviewing changes to CPT codes that impact the revenue cycle within the department and works in collaboration with the revenue cycle team to re-set CDM charge profiles. This position is responsible for reviewing ongoing changes in CMS and insurance plan requirements for authorization, including bundling and medical necessity requirements. The analyst interprets these regulatory changes and provides ongoing education and training to the clinical and administrative teams.

Additionally, the Analyst is responsible for Self Pay Patient Accounts by coordinating with International Patient Concierge Program, and Admissions and Registration to help provide correct treatment pricing and correct receipts of self pay payments. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections.

Department Description

The UCSF Helen Diller Family Comprehensive Cancer Center is an accredited National Cancer Institute Comprehensive Cancer Center. The NCI-Designation recognizes the scientific leadership, resources, and the depth and breadth of the research in basic, clinical and population science. As a Comprehensive Cancer Center, we demonstrate the added depth and breadth of research as well as substantial transdisciplinary research that bridges these scientific areas. The Department of Radiation Oncology encompasses three sites and provides comprehensive radiation treatment using the best in class modalities. Our interdisciplinary team of nurses, therapists, dosimetrists, physics and physician treat 250 patients daily at three hospital sites.

Required Qualifications
  • Bachelor degree in Accounting or Business Finance or four years of applicable experiences.
  • Two or more years of experience in hospital and medical practice billing or equivalent combination of education and hands-on work experience in hospital procedural area billing and medical practice billing.
  • Thorough knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
  • Detail oriented, with proven ability to effectively manage time, see tasks and projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise.
  • Strong communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner. Ability to prepare compelling and informative reports and presentations.
  • Strong analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems and propose innovative solutions.
  • Strong interpersonal skills, with the ability to collaborate effectively on complex projects in a team environment with staff from a wide variety of business and clinical areas.
  • Proven ability to work with managers, serving as a technical resource, providing recommendations and advice on regulatory changes, and industry trends and developments in revenue cycle management.
  • Understanding of practice operation work flow that would impact billing (Front Desk Reception, Scheduling, Authorization).
Preferred Qualifications
  • Epic and/or Aria experience.
  • Thorough understanding of the issues, processes, reporting instruments, metrics, analytics, and other tools and techniques involved with measuring and analyzing the revenue cycle.
  • Strong skills in report development, dashboard design, and various software specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software.
  • ROCC-Radiation Oncology Certified Coder.
License/Certification

Certified Coder with CPC or other coding certificate.

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

007589 REVENUE CYCLE HC ANL 3

Job Category

Accounting / Finance, Administrative Support, Financial, Support Services

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

Berkeley, CA, Flexible (combination of onsite and remote work), Hybrid

Shift

Days

Shift Length

8 Hours

Additional Shift Details

M-F

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