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 pivotal role in evaluating and enhancing the effectiveness of the revenue cycle operations. This position focuses on data assessment, pinpointing improvement opportunities, and executing strategies to boost revenue generation and operational efficiency across all entities within the organization.

Key Responsibilities:

  • Examine revenue cycle data to uncover trends, challenges, and potential enhancements.
  • Establish and track key performance indicators (KPIs) pertinent to revenue cycle efficiency.
  • Analyze dashboards, work queues, collections, allowances, and denials to identify patterns and recommend corrective measures.
  • Prepare comprehensive reports and presentations for senior leadership regarding revenue cycle performance metrics.
  • Collaborate with finance, billing, and coding departments to optimize processes and address issues.
  • Conduct regular compliance reviews to align with regulations and internal policies.
  • Propose and implement process enhancements to improve efficiency and minimize revenue loss.
  • Provide training and guidance to staff on best practices and updated processes.
  • 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 relevant patient information to appropriate departments as needed.
  • Ensure adherence to applicable laws and regulatory standards, staying updated on federal, state, and local regulations regarding collections.
  • Manage the effective utilization of the departmental budget.
  • Perform additional 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 certifications (e.g., Certified Revenue Cycle Representative - CRCR) are advantageous.
  • Strong analytical capabilities and proficiency in data analysis tools and software.
  • Experience in revenue cycle management, medical billing, and coding is preferred.
  • Exceptional communication skills with the ability to collaborate effectively across departments.
  • Detail-oriented with robust problem-solving skills.

Skills and Knowledge:

  • Advanced understanding of relevant hardware/software and hospital registration/billing systems.
  • Proficient in the Epic application.
  • Excellent written and verbal communication abilities.
  • Knowledge of medical terminology, including CPT and ICD codes.
  • Computer literacy is essential.
  • Ability to work independently on assigned tasks while also accepting direction on given assignments.
  • Familiarity with 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 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 essential functions.
  • The role 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.
  • Occasional lifting and/or moving of up to 25 pounds may be required.

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