Revenue Cycle Analyst

2 months ago

Stamford, United States Stamford Health Full time
Job Description

The Revenue Cycle Analyst is responsible for centralized reporting within the Revenue Cycle, for preparing and maintaining performance improvement financial reporting and providing various data analysis as requested by Practice leadership. The Revenue Cycle Analyst will work with the internal and external stakeholders to incorporate findings into process improvement initiatives, workflow enhancements and training opportunities.

Responsibilities

  • Provides on-going detailed assessments of revenue cycle processes with focus on process improvement and best practice.
  • Assists in the development of training programs for departments to increase knowledge of relationship between charge behavior, billing, and reimbursement.
  • Identifies revenue cycle problems, researches/analyzes data to resolve issues, identifies and selects alternatives to address outstanding issues, and works with management to implement solutions for improvement.
  • Assists Manager to develop, implement, maintain and monitor policies and procedures related to the revenue cycle to ensure the quality of billing functions and systems to optimize reimbursement and cash flow.
  • Conducts follow-up with Departments to ensure adherence to policies.
  • Reviews physician charge patterns by procedure, diagnosis, denial, insurance type and other insurance groupings as identified. Analyzes and reports variances.
  • Maintains fee schedules for all governmental agencies, commercial insurers and third party payers. Analyzes contract variance reports, identifies and troubleshoots errors. Coordinates response with appropriate parties such third party billing staff, third party payer representatives or managed care contracting staff. Maintains fee schedule and RVU data in the practice management system.
  • Actively works with insurance companies to insure compliance with established fee schedules and contractual provisions.
  • Develops and utilizes reports to track financial and operational performance across the entire spectrum of the revenue cycle.
  • Performs data analysis, report writing and presentation of findings to management.
  • Provides analysis to support the development of budgets, financial and operating goals and establishment of staffing levels
  • Keeps apprised of rules and regulations affecting reimbursement and revenue cycle. Stays current through appropriate journals and personal contacts of such developments in the industry as may increase the effectiveness of operations. Participates in professional development activities to keep current with industry trends.
  • Maintains appropriate documents, reports and files in order to comply with all applicable laws and policies.
Qualifications
  • Bachelor's Degree in Accounting, Healthcare Administration or equivalent.
  • 2-4 years of relevant experience in healthcare finance/accounting, revenue cycle and/or decision support functions.
  • Knowledge of Revenue Cycle business processes.
  • Strong personal computer literacy required including working knowledge of relevant software packages such as Microsoft Office (Excel, Access, Powerpoint, and Word), and familiarity with a practice management and hospital patient accounting system(s) such as Meditech and eCW.
  • Ability to work with large amounts of data, including checks for integrity, summation, and effective communication (written and verbal) to internal and external constituents
  • Organized and effective at dealing with many activities simultaneously; strong planning and organizing skills required
  • Self-starter with the ability to work independently at times when necessary
  • Demonstrates the highest degree of accuracy and readability for all work and team projects
  • Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Committed to on-going professional development as evidenced by membership and continuing education in HFMA, or other healthcare accounting / finance professional organizations

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