Healthcare Revenue Cycle Specialist
2 weeks ago
The Revenue Cycle Analyst plays a crucial role in the financial operations of the Radiation Oncology department. Reporting to the Revenue Cycle Manager, this position is responsible for providing in-depth analytical support to ensure the precise capture of clinical billing data, facilitate accurate reporting, and optimize reimbursement processes.
Key Responsibilities
The Analyst will:
- Conduct audits and maintain records of all treatment charges related to Radiation Oncology.
- Collaborate proactively with billing agents and clinical staff to address and resolve billing and reimbursement challenges.
- Analyze payer-specific revenue productivity reports to identify underpayment issues and propose actionable solutions for revenue enhancement.
- Lead the review of changes to CPT codes affecting the revenue cycle and work with the revenue cycle team to update charge profiles accordingly.
- Monitor ongoing changes in CMS and insurance requirements, ensuring compliance with authorization and medical necessity standards.
- Provide ongoing education and training to clinical and administrative teams regarding regulatory changes.
- Manage Self Pay Patient Accounts by coordinating with relevant departments to ensure accurate pricing and payment processing.
Impact on Operations
This role significantly influences various revenue cycle functions, including:
- Charge capture and coding
- Insurance identification and billing
- Payment posting and collections
- Refund processing
Qualifications
Required:
- Bachelor's degree in Accounting, Business Finance, or equivalent experience.
- Minimum of two years in hospital or medical practice billing.
- Comprehensive understanding of healthcare revenue cycle operations.
- Exceptional attention to detail and organizational skills.
- Strong communication skills for conveying complex financial information.
- Proficient analytical and problem-solving abilities.
- Ability to collaborate effectively across diverse teams.
Preferred:
- Experience with Epic and/or Aria systems.
- Knowledge of revenue cycle measurement tools and analytics.
- Skills in report development and dashboard design.
- Certification as a Radiology Oncology Certified Coder.
About the Organization
The University of California is dedicated to advancing healthcare through innovative patient care, cutting-edge technology, and groundbreaking research. The institution is consistently recognized among the top hospitals nationwide, committed to providing a rewarding work environment that fosters professional growth and excellence.
Commitment to Diversity
The University of California values diversity and is committed to creating an inclusive environment for all employees. We encourage candidates from diverse backgrounds to apply.
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