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Revenue Cycle Analyst I

1 month ago

Detroit, United States McLaren Health Care Full time

Position Summary:

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

  1. Analyze front-end delays and problems related to complete and accurate information needed for timely billing.

  2. 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