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Senior Revenue Cycle Analyst

2 months ago

Lewisville, North Carolina, United States EMS Management and Consultants Inc Full time

Position Type:
Full-time

Company Overview:
EMS Management and Consultants Inc specializes in comprehensive revenue cycle management solutions, being the foremost billing services provider dedicated solely to emergency medical services across the United States. Our offerings encompass everything from software solutions to hardware and billing services, ensuring a complete service experience.

With over 25 years of excellence, our commitment to high-quality service, results-driven strategies, and a customer-focused approach has established us as a leader in professional EMS billing. We prioritize patient satisfaction and tailor our services to meet the unique needs of our clients, fulfilling our mission to deliver innovative financial services that enhance the efficiency of EMS systems.

Role Overview:
The Senior Revenue Cycle Analyst plays a crucial role in supporting the daily operations of the Revenue Cycle Department, ensuring efficient, timely, and high-quality performance. Responsibilities include developing operational guidelines, managing workflow distribution, reviewing quality outcomes, facilitating proactive communication, and resolving issues as they arise. This position is also tasked with reviewing and processing claims at various stages of the revenue cycle to maximize reimbursement and meet operational commitments for assigned clients.

Key Responsibilities:

  • Oversee client performance metrics for the team, identifying potential revenue losses or delays to ensure optimal reimbursement for assigned clients.
  • Conduct regular audits of team performance.
  • Proactively monitor and communicate performance trends, deficiencies, and areas for improvement, providing feedback to supervisors and management.
  • Innovate and implement ideas to enhance team performance and operational processes.
  • Respond promptly and professionally to inquiries.
  • Engage in cross-functional meetings to contribute to client issue resolution and continuous improvement initiatives.
  • Maintain consistent workflow among team members and alert relevant parties of any emerging issues.
  • Facilitate ongoing training and communication regarding departmental goals and performance.
  • Uphold professionalism and compliance in all interactions and tasks.
  • Initiate timely communication with payers to address deficiencies and provide feedback for operational improvement.
  • Manage correspondence, rejections, denials, and appeals in accordance with compliance standards.
  • Independently identify problems, analyze causes, and implement resolutions.
  • Communicate effectively with team members to achieve maximum reimbursement through prioritization and adherence to standard operating procedures.
  • Utilize a holistic approach to client performance, employing critical thinking and innovation.
  • Stay informed of industry changes and regulations to ensure compliance.
  • Exhibit strong customer service skills to foster internal and external relationships.
  • Support and embody the company’s mission and values.
  • Engage in personal and career development initiatives.
  • Prepare to present client performance analyses as needed.
  • Assist with special projects related to billing operations and regulatory compliance.
  • Conduct training for staff as required for process improvements.
  • Serve as a backup for team members as necessary.
  • Research and respond to inquiries in a timely manner.
  • Perform additional tasks as assigned by supervisors.
  • Maintain or exceed performance standards for each client, including Service Level Agreements and audit scores.
Qualifications:
  • High School Diploma required.
  • 1-2 years of experience in processing health insurance claims, denials, or healthcare accounts receivable; or 1-2 years of medical billing experience, with a preference for EMS billing experience.
  • Ability to analyze client performance holistically and implement continuous improvement strategies.
  • Strong organizational and multitasking skills.
  • Understanding of compliance requirements and payer specifications.
  • Demonstrated knowledge of HIPAA regulations and various payment methods.
  • Adaptability to changes in procedures and priorities.
  • Ability to work effectively in both team settings and independently.
  • Excellent written and verbal communication skills.
  • Detail-oriented and resourceful.
  • Self-starter with critical thinking abilities.
  • Proficient in Microsoft Office applications.
Preferred Skills:
  • Experience with EMS billing and denials.
  • Familiarity with EMS|MC billing software.
  • General office skills including typing and use of office equipment.
Why Choose EMS Management and Consultants Inc:
  • Flexible scheduling options.
  • Career development opportunities.
  • Wellness seminars and initiatives.
  • Comprehensive benefits package.
  • Remote work opportunities.
  • All necessary equipment provided.