Reimbursement Cycle Specialist

2 weeks ago

Frisco, Texas, United States Ambercare Full time
To apply via text, text 6642 to

Position Overview: The Reimbursement Cycle Specialist is tasked with evaluating and reporting on essential business indicators within the Reimbursement division. This role primarily focuses on monitoring and presenting data that informs strategic decisions, management oversight, and productivity across various business metrics such as Expiring authorizations and certifications, Days Sales Outstanding (DSO), aged Accounts Receivable (AR), timely filing, cash collections, and write-offs. Reporting must align with organizational policies and regulatory compliance standards.

Key Responsibilities:
  • Accountable for the analysis and prompt reporting of critical Revenue Cycle metrics - develops and sustains internal reports for management assessment, including DSO, aged AR, write-offs, and productivity indicators with a strong emphasis on detail, quality, and precision.
  • Generates and maintains daily, weekly, monthly, quarterly, and annual financial and operational reports, including trend analysis, to facilitate informed decision-making and enhance productivity/performance metrics.
  • Manages the dissemination of Expiring Authorization and Certification reports, collaborating with various branches and management to achieve benchmarks regarding their status and timeliness.
  • Prepares reports for and engages with senior management and internal/external auditors.
  • Tracks data trends to proactively identify reimbursement challenges.
  • Assists in the preparation and presentation of reports required for regular meetings concerning AR management and Financial Reviews.
  • Conducts specific reviews of various billing, collection, or cash application data and processes, such as payer monitoring, aged accounts receivable, and billing & collection timeliness.
  • Supports internal audits as necessary, including internal control assessments.
  • Contributes to special projects, including but not limited to, payer research or requirements for the integration of acquired entities into existing processes and systems.
  • Advocates for all performance improvement initiatives.
  • Maintains the highest level of confidentiality; adheres to all relevant regulations and guidelines.
Qualifications:
  • Possession of a Bachelor's degree in Accounting/Finance or an equivalent combination of education and experience.
  • A minimum of 2 years of experience in statistical or data analysis.
  • Advanced proficiency in computer applications, including Microsoft Office and Access (Excel, Word, and Outlook).
  • Experience with database structures and standard query and reporting tools.
  • Ability to manipulate extensive data sets and present findings in user-friendly reports, including trend analysis.
  • Strong communication skills, capable of documenting and conveying basic data as well as identifying financial or operational issues through data analysis.
  • Familiarity with healthcare data, payers, and billing/collections systems is preferred.
To apply via text, text 6642 to

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