Revenue Cycle Analyst
3 months ago
Delta Health offers health care professionals and people from all walks of life an opportunity to find fulfillment in their jobs as part of a close-knit team.We pride ourselves on ourpositive work culture . Our team members understand our fundamental commitment to the community and rally around the motto "Excellence, Every Patient, Every Time."When you embark on a journey with us, you'll take pride in your work and the impact you have, while building a career with focus and purpose.
The Revenue Cycle Analyst is responsible for analyzing and optimizing the financial processes for Delta Health.Main focus is to improve revenue generation, reduce costs, and enhance overall financial performance.Will also provide support for all aspects of insurance billing, as well as claims follow up and collections.
Position Responsibilities:
- Reviews and analyzes financial data related to revenue generation, billing, collections, and reimbursement processes. Identifies trends, patterns, and discrepancies to provide insight and recommendations for improvement.
- Responsible for supporting the business solutions within the Revenue Cycle, including charge services/revenue integrity, health information management and patient accounting. Supports implementation and provides ongoing support of revenue cycle applications.
- Ensures the efficient flow of revenue through the organization's financial systems. Will monitor key performance indicators (KPIs) such as accounts receivable, denials, and cash collection to identify areas for enhancement.
- Identifies opportunities to streamline revenue cycle processes and implement strategies to enhance efficiency and accuracy. Collaborate with cross functional teams to develop and implement best practices, standard operating procedures, and system enhancements.
- Ensure compliance with healthcare regulations, such as HIPAA and coding guidelines. This position will have direct contract with the appropriate third-party payers for all unpaid claims including denied claims and those requiring appeal, non-payment, overpayments, and underpayments.
- Takes action to bring outstanding accounts receivable (A/R) to a zero balance, preferably by the collection of payment in full. Reviews open A/R accounts and takes appropriate action on those accounts.
- Ensures efficient processing of billing claims, insurance follow up, collection activities, and denials. Assists in meeting cash collection goals by reviewing, completing, and submitting appropriate documentation based on payer requirements.
- Serves as support staff for various departments and external payers by developing positive relationships with managed care organizations, outside agencies, and clinical areas within the organization. Review and responds to correspondence and inquiries generated by third party payers.Provide medical record copies and other pertinent information to the appropriate sources.
- Work exception and rejection work queues and review EOB's for correct contract payment.
- Bachelor's degree in accounting, finance, economics, or statistics preferred.
- Certified public accounting (CPA) preferred.
- Minimum of two years' experience as a revenue cycle analyst, or similar role.
- Extensive knowledge of revenue cycle data analysis and interpretation.
- In-depth knowledge of accounting practices and industry regulations.
- Knowledge with CMS 1500 and UB04 Billing Forms, EOBs, claims, coding and charges is required.
- Knowledge of third-party and insurance companies' operating procedures, regulations and billing requirements; i.e. Commercial, Medicare, Medicaid, etc.
- Effective customer service skills with the ability to interact with both internal and external customers.
- Ability to prioritize work, handling daily and multiple tasks to completion within the time allotted, while working as part of a team within a demanding environment.
- Ability to work independently with minimal supervision.
Summary
Delta Health is a county-wide healthcare system that has been serving the Western Slope for over 100 years. We have grown to a 49-bed hospital with locations throughout Delta County. We proudly provide a wide range of medical services that meet the diverse needs of our community members. At all stages of life, we are here to provide remarkable care in a healing environment.
Employee Benefits: Medical, RX, Dental, Vision, Retirement, PTO, and Scholarships towards continued education.
Medical: Low monthly premiums; 100% coverage for all services provided within our Delta Health System without a deductible or co-payment. We offer alternative coverage to include massage, acupuncture, and chiropractic care. Employer paid Life and Disability coverage.
Paid Time Off: 4 plus weeks of vacation (CAL) a year for Full-Time employees including sick pay and personal time off.
Retirement: 403B Plan -Up to a 3% retirement match.
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