Revenue Cycle Analyst

4 days ago


Delta, Colorado, United States Delta Health Full time
About the Role

We are seeking a highly skilled Revenue Cycle Analyst to join our team at Delta Health. As a key member of our financial operations team, you will play a crucial role in analyzing and optimizing our financial processes to improve revenue generation, reduce costs, and enhance overall financial performance.

Key Responsibilities
  • Review and analyze financial data related to revenue generation, billing, collections, and reimbursement processes to identify trends, patterns, and discrepancies.
  • Support the development and implementation of business solutions within the Revenue Cycle, including charge services/revenue integrity, health information management, and patient accounting.
  • Ensure the efficient flow of revenue through our financial systems by monitoring key performance indicators (KPIs) such as accounts receivable, denials, and cash collection.
  • Identify 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.
  • Take action to bring outstanding accounts receivable (A/R) to a zero balance by reviewing and completing documentation based on payer requirements.
  • Ensure efficient processing of billing claims, insurance follow-up, collection activities, and denials.
  • Serve 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.
Requirements
  • 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.


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