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Senior Revenue Cycle Analyst

2 months ago

Lewisville, North Carolina, United States EMS Management & Consultants Full time
Job Overview

About EMS|MC

EMS|MC specializes in comprehensive revenue cycle management solutions, standing as the foremost billing services provider dedicated exclusively to emergency medical services across the United States. Our offerings encompass a wide range of services, including software, hardware, and billing solutions, ensuring a holistic approach to revenue management.

With over 25 years of experience, we pride ourselves on delivering exceptional service, measurable results, and a client-focused approach that has redefined professional EMS billing. Our commitment to patient satisfaction and tailored client solutions allows us to fulfill our mission of providing innovative financial services that enhance the efficiency of cost-effective EMS systems.

Position Summary:

The Senior Revenue Cycle Analyst plays a pivotal role in supporting the daily operations of the Revenue Cycle Department, ensuring that performance is efficient, timely, and of the highest quality. This role involves developing operational guidelines, distributing tasks, reviewing quality metrics, facilitating proactive communication, and resolving issues as they arise. Additionally, the analyst is responsible for reviewing and processing claims throughout various stages of the revenue cycle, ensuring compliance and maximizing reimbursement for our clients.

Key Responsibilities:

  • Oversee client performance metrics, identifying potential revenue losses or delays to ensure optimal reimbursement.
  • Conduct regular audits for team members to maintain high standards.
  • Proactively monitor and provide insights on team performance, addressing deficiencies and recommending improvements.
  • Develop and implement innovative strategies to enhance team performance and operational processes.
  • Respond to inquiries in a professional and timely manner.
  • Engage in cross-departmental meetings to contribute to client issue resolution and ongoing improvement initiatives.
  • Maintain a consistent workflow within the team, promptly notifying relevant parties of any issues or trends.
  • Facilitate ongoing training and communication for team members regarding departmental goals and performance.
  • Execute all responsibilities with professionalism, respect, and adherence to compliance policies.
  • Initiate proactive communication with payers to identify and address deficiencies.
  • Prioritize and manage claims correspondence, ensuring compliance with standards and specifications.
  • Work independently to identify and resolve issues efficiently.
  • Communicate effectively with team members to ensure optimal reimbursement through prioritization and adherence to procedures.
  • Adopt a holistic approach to client performance using analytical and innovative thinking.
  • Stay informed about industry regulations to ensure compliance and preparedness.
  • Exhibit strong customer service skills to foster internal and external relationships.
  • Support and embody the company’s mission and values.
  • Engage in self-development and career advancement discussions.
  • Prepare to present client performance analyses as required.
  • Assist with special projects related to billing operations and regulatory compliance.
  • Conduct training sessions for staff as needed for process improvements.
  • Serve as a backup for team members when necessary.
  • Respond to inquiries promptly and professionally.
  • Perform additional tasks as assigned by management.
  • 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.
  • Ability to approach client performance with a comprehensive analytical mindset.
  • Strong organizational and multitasking skills.
  • Ability to learn and adapt to compliance, client, and payer requirements.
  • Commitment to continuous improvement in all tasks and interactions.
  • Understanding of HIPAA regulations, Medicare, Medicaid, and various payment methods.
  • Flexibility to adapt to changes in the work environment.
  • Ability to work effectively in both team settings and independently.
  • Strong written and verbal communication skills.
  • Detail-oriented and resourceful.
  • Self-motivated with critical thinking skills.
  • Proficient in Microsoft Office applications.

Preferred Skills:

  • Experience in EMS billing and denials.
  • Familiarity with EMS|MC billing software.
  • Proficient in standard office practices and equipment.

Why Choose EMS|MC:

  • Flexible work schedules.
  • Opportunities for career development.
  • Regular wellness seminars.
  • Comprehensive benefits package.
  • Remote work options available.
  • All necessary equipment provided.