Revenue Cycle Performance Analyst

1 week ago

Melville, New York, United States Fusion Solutions, LLC Full time

Overview:

The Revenue Cycle Performance Analyst at Fusion Solutions, LLC plays a crucial role in enhancing the effectiveness of the revenue cycle operations. This position is dedicated to evaluating data, pinpointing areas for enhancement, and executing strategies aimed at boosting revenue generation and operational efficiency across all sectors under the client's Health Network.

Key Responsibilities:

  • Examine revenue cycle data to uncover trends, challenges, and potential improvements.
  • Establish and track key performance indicators (KPIs) relevant to revenue cycle efficiency.
  • Evaluate dashboards, work queues, collections, allowances, and denials to identify patterns and corrective measures.
  • Compile reports and presentations for upper management regarding revenue cycle metrics and performance.
  • Collaborate with finance, billing, and coding teams to optimize processes and address issues.
  • Conduct regular audits to ensure adherence to regulations and internal standards.
  • Propose and implement process enhancements to improve efficiency and minimize revenue loss.
  • Offer training and support to staff on best practices and new procedures.
  • Stay informed on industry trends and regulatory changes impacting revenue cycle management.
  • Maintain and update departmental manuals as necessary.
  • Review aged trial balances to ensure efficient handling of accounts.
  • Communicate patient-related information to relevant departments as needed.
  • Ensure compliance with applicable laws and regulatory standards, keeping up-to-date with federal, state, and county regulations concerning collections.
  • Manage the effective utilization of the departmental budget.
  • Perform other incidental and related duties as assigned.

Qualifications:

  • Bachelor's degree in finance, healthcare administration, or a related discipline (Master's degree preferred).
  • A minimum of seven (7) years of experience in hospital patient access services, including three (3) years in a supervisory role.
  • Relevant certification (e.g., Certified Revenue Cycle Representative - CRCR) is advantageous.
  • Strong analytical capabilities and proficiency in data analysis tools and software.
  • Experience in revenue cycle management, medical billing, and coding is preferred.
  • Excellent communication skills with the ability to collaborate effectively across various departments.
  • Detail-oriented with robust problem-solving skills.

Skills and Expertise:

  • Advanced knowledge of relevant hardware/software and hospital registration/billing systems is required.
  • Proficient in the Epic application.
  • Exceptional written and verbal communication skills.
  • Familiarity with medical terminology, including CPT and ICD codes.
  • Computer literacy is essential.
  • Ability to work independently on assigned tasks while also accepting guidance on given assignments.
  • Knowledge of billing guidelines.
  • Ability to interact positively with colleagues across all departments.
  • Professional demeanor.
  • Able to manage multiple tasks simultaneously.

Physical Requirements:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this role.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The work involves activities such as climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing, and visual acuity. The work is primarily conducted indoors.
  • The employee must occasionally lift and/or move up to 25 pounds.

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