Revenue Cycle Management Strategy
2 weeks ago
Passionate about precision medicine and advancing the healthcare industry?
Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.
The Reimbursement team oversees revenue cycle operations and reimbursement strategy for Tempus clinical laboratory testing. The position supports relationships with Tempus’ Managed Care, Sales, Finance, Product, Customer Success, Operations, and Business Intelligence (BI), as well as our third-party billing vendor.
Summary
The Revenue Cycle Management Strategy and Operations Analyst will play a pivotal role in optimizing revenue cycle operations and reimbursement strategies. Reporting to the Manager, this person will be responsible for implementing innovative strategies and driving initiatives to enhance operational efficiency. This role demands a highly motivated individual with strong business acumen, adept at working cross-functionally to achieve team goals and objectives.
Responsibilities
Implement strategies to support revenue optimization in key areas including prior authorizations, denial management, appeals, and refunds.
Establish KPI metrics and monitor ongoing performance to identify areas of improvement.
Develop a thorough understanding of the data submission process to third-party billing vendors.
Prepares reimbursement trend reporting using insurance claim data, analyzing trends to identifyopportunities for optimization.
Create, generate, and run complex reports using various systems to extract data for in-depth analysis.
Compile and synthesize data to be shared in monthly reporting presentations for Reimbursementleadership, providing insights and recommendations for improvement.
Builds strong relationships and acts as a liaison to critical stakeholders and vendors involved inreimbursement processes.
Lead ad hoc requests and special projects as needed, demonstrating flexibility and adaptability tomeet evolving business needs.
Preferred Qualifications & Experience
Bachelor's degree in Business Administration, Healthcare Management, Finance, or related field.
2+ years of experience in healthcare consulting, revenue cycle management, healthcare operations, or related fields.
Strong analytical skills with proficiency in data analysis and reporting.
Demonstrated ability to work cross-functionally and collaborate effectively with stakeholders at alllevels.
Excellent communication skills, both verbal and written, with the ability to convey complex ideasand analysis results clearly.
Proficiency in Microsoft Excel and other data analysis tools; experience with healthcare billingand reporting systems preferred.
Detail-oriented with a commitment to accuracy and thoroughness in all tasks.
Proven ability to manage multiple projects simultaneously and prioritize tasks effectively.
Motivated self-starter with a proactive approach to problem-solving and driving continuous improvement.
Strong presentation preparation skills.
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