Revenue Finance Analyst II
3 weeks ago
About the Role
Mass General Brigham is seeking a skilled Revenue Analyst II to support activities focused on payor payment, analytics, and underpayment recoveries. This role will involve interacting with colleagues, other departments, and external parties to optimize revenue capture.
Key Responsibilities
- Analyze third-party payment variances and determine root causes for discrepancies using database tools.
- Document and submit appeals to third-party payers for underpayment recoveries and track responses.
- Identify overpayments and inform management to determine financial reserves and remediate internal processes.
- Prepare and present regular reporting of department recoveries at senior management meetings.
- Perform bi-annual contract implementation audits, draft findings, and recommend actions to management.
- Assist in collecting data and compiling the departmental Variance Activity Report.
- Represent the department at payor operations and revenue analyses meetings internally and externally.
- Respond to ad-hoc financial analysis requests and maintain an accurate tracking log.
- Evaluate modeling logic and system issues and recommend remediation to management.
- Record and monitor payment variances and communicate them to internal and external parties.
- Develop required reporting for the Payment Variance team using available databases.
- Input and correct rates within the Harvest modeling system and communicate with the Harvest vendor.
- Participate in process improvement initiatives, including the MGB RCO ESP Everyone Solves Problems initiative.
Requirements
- Bachelor's degree in Healthcare Administration, Management, Finance, Business Administration, or a related field.
- Minimum of five years of relevant healthcare experience, billing, financial analysis, or revenue cycle experience.
Skills and Abilities
- Strong interpersonal skills to communicate effectively with cross-functional teams.
- Ability to negotiate and collaborate with others of different skill sets, backgrounds, and levels within and external to the organization.
- Strong problem-solving and negotiation skills.
- Ability to conduct meetings, both formal and informal.
- Requires minimal direction from leadership and possesses the ability to learn quickly.
About Mass General Brigham
Mass General Brigham is an Equal Opportunity Employer. We choose to lead by embracing diverse skills, perspectives, and ideas. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under the law.
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