Revenue Cycle Analysis Specialist

1 week ago

Stockton, California, United States Touro University Full time

Position Overview:
The Revenue Cycle Reporting Analyst (RCA) operates under the guidance of the Director of Business and Clinic Operations. This role is pivotal in ensuring the efficient processing of patient billing and payment receipts, adhering to established policies. The RCA aims to reduce bad debt, enhance cash flow, and effectively oversee accounts receivable. This position plays a crucial role in providing management with comprehensive support for all revenue cycle functions throughout the organization, including front desk operations, outpatient billing, hospital billing, collections, and training for staff and physicians.

Key Responsibilities:

  • Engage in program and service evaluation activities, facilitating changes based on Continuous Quality Improvement results (e.g., Denial Management, MIPS, HEDIS).
  • Compile and generate various status reports for management to analyze trends effectively.
  • Assist in the preparation of monthly, quarterly, and annual financial reports in collaboration with TUMG Corporate Leadership.
  • Ensure data integrity within the practice management system, including charge and collection reconciliations, and report issues promptly.
  • Provide weekly updates on outstanding charges exceeding 90 days as per the Accounts Receivable Aging report.
  • Generate reports regarding the status of credit balances (Unapplied Credit Analysis Report).
  • Assess gross charges to determine the necessity for updates to the fee schedule at least annually, reporting findings to TUMG Corporate Leadership.
  • Facilitate the annual update of the RVU Schedule and Fee Schedule in the EMR, ensuring accuracy based on the annual CMS Update.
  • Monitor the volume of Open Encounters weekly to confirm timely entry of all outpatient and hospital encounters.
  • Communicate regularly with healthcare providers regarding open encounters.
  • Ensure timely processing and correction of Claim Edit and Rejection Reports from the EMR and Clearinghouse, as well as manage rejected claims.
  • Evaluate coding practices among providers to identify patterns of undercoding or irregularities through pre-claim chart scrubbing.
  • Maintain up-to-date information regarding billing and collections processes for each third-party carrier in a Billing Manual.
  • Identify patterns in remittance advices indicating improper collection of insurance information and initiate retraining as necessary.
  • Address performance deficiencies in healthcare providers and staff identified through internal audits in coordination with the RCA Supervisor.
  • Safeguard all patient Protected Health Information (PHI) and adhere to confidentiality standards.
  • Participate actively in the Corporate Compliance Program, adhering to the Program Code of Conduct and relevant laws.
  • Engage in Continuous Quality Improvement initiatives and other activities that support the mission and objectives of Touro University Medical Group.
  • Adhere to scheduled work hours, including breaks and lunches.
  • Perform additional duties as assigned.

Supervisory Responsibilities:
Indirect supervision of Clinic Billing Staff.

Qualifications:

  • Ability to function with minimal supervision.
  • 2-4 years of progressive experience in medical billing is required.
  • A Bachelor’s degree in Finance is preferred or equivalent experience.
  • Dependability and professionalism are essential.
  • Proficiency in using personal computers and various software applications relevant to job duties.
  • Knowledge of quality management processes.
  • Ability to establish and maintain effective working relationships.
  • Sound judgment and discretion are necessary.
  • Strong oral, written, and presentation communication skills are required.

Core Competencies:
Core competencies outline the expected behaviors of an employee.

Knowledge, Skills, and Abilities:

  • Exceptional verbal and written communication skills.
  • Strong interpersonal, negotiation, and conflict resolution skills.
  • Excellent organizational skills and attention to detail.
  • Robust analytical and problem-solving abilities.
  • Capability to prioritize tasks and delegate when appropriate.
  • Integrity, professionalism, and confidentiality are paramount.
  • Familiarity with billing and financial regulations.
  • Proficiency in Microsoft Office Suite or related software.
  • Experience with Electronic Health Records.
  • Ability to develop programs and lead process improvement initiatives.
  • Engagement in strategic planning as requested by leadership.
  • Capacity to initiate and implement changes that enhance patient care quality and safety.
  • Ability to achieve shared goals and promote cooperative behaviors.
  • Awareness of current healthcare theories, principles, practices, and standards.
  • Knowledge of relevant laws, rules, and regulations.
  • Understanding of organizational, administrative, fiscal, and personnel management principles essential for clinic operations.

Salary Range:
Maximum Salary: USD $70,000.00/Yr.
Minimum Salary: USD $56,000.00/Yr.

  • Revenue Cycle Analysis Specialist

    1 week ago

    Stockton, California, United States Touro University Full time

    Position Overview:The Revenue Cycle Reporting Analyst will operate under the general oversight of the Director of Business and Clinic Operations. This role is crucial for ensuring that patient billing and payment processing are executed promptly and in line with established policies. The Analyst will work to reduce bad debt, enhance cash flow, and...

  • Revenue Cycle Analysis Specialist

    2 weeks ago

    Stockton, California, United States Touro University Full time

    Position Overview:The Revenue Cycle Reporting Analyst (RCA) operates under the guidance of the Director of Business and Clinic Operations. This role is pivotal in ensuring that patient billing and payment processing are executed promptly and in alignment with established policies. The RCA's primary objectives include minimizing bad debt, enhancing cash flow,...

  • Revenue Cycle Reporting Analyst

    3 days ago

    Stockton, California, United States Touro University Full time

    Job SummaryWe are seeking a highly skilled Revenue Cycle Reporting Analyst to join our team at Touro University. As a key member of our healthcare operations team, you will play a critical role in ensuring the timely and accurate processing of patient billing and payment receipts.Key ResponsibilitiesProgram Evaluation and Improvement: Participate in...

  • Administrative Support Specialist

    2 weeks ago

    Stockton, California, United States Internal Revenue Service Full time

    Position Overview:As a vital member of our team, the Management and Program Assistant plays a crucial role in identifying and resolving potential issues within our operations. Key Responsibilities:1. Analyze and diagnose problems, providing actionable recommendations for improvement.2. Conduct thorough research on various topics, compiling statistics and...

  • Senior Account Executive

    1 week ago

    Stockton, California, United States Waste Management Full time

    Job SummaryWe are seeking a highly motivated and experienced Sales Executive to join our team at Waste Management. As a key member of our sales team, you will be responsible for driving revenue growth and building strong relationships with our customers.Key ResponsibilitiesProspect and close sales to new customers to achieve budgeted sales goalsDevelop and...

  • Financial Project Specialist

    1 week ago

    Stockton, California, United States Jobot Full time

    Financial Project Specialist with WIP for a full-time opportunity with a Design and Architecture firmThis Jobot Job is hosted by: Jon LopezSalary: $70,000 - $90,000 per yearAbout Us:We are a leading Design and Architecture firm seeking a dedicated Financial Project Specialist focused on Work in Progress (WIP) accounting.Why Consider This Role?Comprehensive...

  • Accounts Receivable Specialist

    2 weeks ago

    Stockton, California, United States Crestwood Behavioral Health Full time

    Job OverviewAre you seeking a fulfilling position in the behavioral health sector and wish to contribute to an organization that prioritizes individuals? If you are dedicated to assisting others on their path to recovery, we encourage you to consider joining the Crestwood team.For over 50 years, Crestwood has been devoted to developing innovative recovery...

  • Program Management Associate

    2 weeks ago

    Stockton, California, United States Internal Revenue Service Full time

    Position Overview:As a vital member of our team, the Management and Program Assistant plays a crucial role in identifying and addressing potential challenges within various programs. Key Responsibilities:1. Analyze and diagnose issues, providing actionable recommendations for resolution.2. Conduct thorough research on diverse topics, compiling statistics and...

  • Health Information Management Director

    6 days ago

    Stockton, California, United States Ernest Health Full time

    About the RoleWe are seeking a highly skilled and experienced Health Information Management Director to join our team at Ernest Health. As a key member of our leadership team, you will be responsible for providing expertise in coding and classification systems to healthcare providers throughout our hospital, and driving improvements in reimbursement and...

  • Operations Coordination Assistant

    2 weeks ago

    Stockton, California, United States Internal Revenue Service Full time

    Position Overview:As a vital member of our team, the Management and Program Assistant plays a crucial role in identifying and addressing potential issues, analyzing probable causes, and offering actionable recommendations for resolution.Key Responsibilities:1. Conduct thorough research on various topics, compiling statistics and relevant information to...

  • Inventory Management Specialist

    6 days ago

    Stockton, California, United States West Coast Magnetics Full time

    Job SummaryWe are seeking a highly skilled and experienced Inventory Control Specialist to join our dynamic team at West Coast Magnetics. As an Inventory Control Specialist, you will be responsible for maintaining the accuracy and organization of our inventory items in the stockroom and warehouse.Key ResponsibilitiesInventory Management: Assign new bin...

  • Behavioral Specialist

    5 days ago

    Stockton, California, United States Soliant Full time

    Job Overview**Job Summary:**Soliant is seeking a highly skilled and experienced Behavioral Specialist to join our team as a Registered Behavior Technician (RBT) for a Full-Time position. The ideal candidate will have a strong background in behavior analysis and experience working with students with behavioral needs.Key Responsibilities:Develop and implement...

  • Hospital President St. Joseph's Medical Center

    4 days ago

    Stockton, California, United States CommonSpirit Health Full time

    About the RoleWe are seeking a visionary Hospital President to lead St. Joseph's Medical Center into the future, ensuring the successful execution of our expansion and the continued excellence of our healthcare delivery.Key ResponsibilitiesStrategic Leadership: Develop and implement hospital strategy in alignment with CommonSpirit Health's mission, vision,...

  • Hospital President

    3 days ago

    Stockton, California, United States Dignity Health Full time

    About the RoleWe are seeking a visionary Hospital President to lead St. Joseph's Medical Center into the future, ensuring the successful execution of our expansion and the continued excellence of our healthcare delivery.Key ResponsibilitiesStrategic Leadership: Develop and implement hospital strategy in alignment with Dignity Health's mission, vision, and...

  • Executive Director of Healthcare Operations

    6 days ago

    Stockton, California, United States Dignity Health Full time

    About the OpportunityWe are seeking a visionary Hospital President to lead St. Joseph's Medical Center into the future, ensuring the successful execution of our expansion and the continued excellence of our healthcare delivery. As a key member of the Dignity Health leadership team, you will be responsible for driving strategic growth, improving operational...

  • Behavioral Intervention Specialist

    2 weeks ago

    Stockton, California, United States FutureRecruit Full time

    Behavioral Intervention Specialist Company: FutureRecruit Key Responsibilities: Work collaboratively within an educational team to evaluate, design, monitor, and execute comprehensive behavioral intervention strategies across the school.Develop, implement, and assess effective Behavioral Intervention programs that include data collection, program...

  • Child Intervention Specialist

    4 days ago

    Stockton, California, United States Butterfly Effects Full time

    Job OpportunityWe are seeking a dedicated and compassionate Child Intervention Specialist to join our team at Butterfly Effects. As a key member of our staff, you will play a vital role in providing high-quality support to children with autism and their families.Key ResponsibilitiesDevelop and implement behavior intervention plans to help children develop...

  • CNC Machining Specialist

    2 weeks ago

    Stockton, California, United States Jobot Full time

    CNC Machining Specialist Required for a Leading Space Engineering FirmAbout Us:We are a pioneering company in the field of aerospace and satellite engineering, dedicated to innovation and excellence. Our team comprises skilled professionals across various engineering disciplines, and we are committed to fostering a collaborative and dynamic work...

  • Supplier Quality Assurance Specialist

    2 weeks ago

    Stockton, California, United States Jobot Full time

    Join Our Team as a Supplier Quality Assurance SpecialistWe are a leading healthy food organization seeking a dedicated Supplier Quality Assurance Specialist to enhance our expanding team.About Us:As a prominent player in the healthy food sector, we prioritize quality and safety in our products. This position is crucial for maintaining our high standards and...

  • Accounting Specialist

    2 weeks ago

    Stockton, California, United States Ledgent Finance & Accounting Full time

    Job OverviewWe are looking for a meticulous and skilled Accounting Specialist to become a vital part of our finance department. This position focuses on managing the accounting operations, particularly emphasizing the oversight of the Accounts Payable (AP) function.Key Responsibilities:Accounts Payable Oversight:Supervise the complete AP cycle, which...