Revenue Cycle Analyst

Description
The Analyst is responsible for participating in internal and external projects. This will involve hands-on work with clinic staff, providers, executives, vendors and other stakeholders to successfully implement innovative care models and improve health outcomes. The successful candidate will have the opportunity to gain practical experience and technical skills in health care management and clinical redesign.

FLSA Status

Exempt

Salary Range

$80,000-$100,000

Reports To

Revenue Cycle Manager

Direct Reports

None

Location

Hybrid (3-4 days in office)

Travel

Up to 25%

Work Type

Regular

Schedule

Full Time

Position Description

• Work closely with Revenue Cycle Manager and additional members of the team and staff to accomplish the goals, objectives and strategic plans for the company
• Data research and analysis – writing queries, analyzing results, identifying trends/gaps
• Create reports around system performance, client data and other business needs.
• Generate Claims Audit trail and reporting for leadership
• Ensure Claims are submitted timely and tracked
• Work with biller and payor to align processes for optimal outcomes in revenue cycle process
• Perform financial and data analytics to support strategic planning in a wide variety of health care settings
• Assist in the development of project deliverables, white papers, and other business materials
• Meet with assigned supervisor and additional team members to gain a clear understanding of the projects, their goals and expected outcomes as well as maintain a timeline for the assigned projects
• Knows and complies with firm quality standards. Understands and can recognize and raise risks pertinent to assigned work (at-risk deliverables, deadlines, quality issues, etc.)
• Capable of developing workplans for deliverable production or workstream using basic project management tools. Complete assigned work according to plan and timeline
• Maintain understanding of our firm's service lines/offerings and differentiating factors with regards to main competitors
• Know and understand our organizational balanced scorecard content. Supports related internal improvement initiatives as requested by supervisor
• Actively seek out mentoring and professional growth opportunities. Receives feedback openly; demonstrates an eagerness to improve based on feedback
• Ensure compliance with all local, state and federal regulations and ethical standards
• Additional responsibilities to be determined based on team and project needs

Qualifications

• Bachelor's degree
• 5 years revenue cycle experience
• Ability to work effectively on multiple projects in a fast-paced environment
• Excellent organization, interpersonal, oral and written communication skills
• Proficiency in Microsoft Excel
• Experience in managing data pipelines
• Experience in managing Revenue Cycle process for Medicaid and Medicare payments
• Understands the Claims Submission Process

Benefits
As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here:

What We Do
COPE Health Solutions (CHS) is a national tech enabled services firm powering success in risk arrangements and development of the future workforce for payers and providers. Our team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers, de-risking the roadmap to advanced value-based payment.

Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.

COPE Health Solutions' Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements. Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization's unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality.

Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry's most complex problems. We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment.

To Apply
To apply for this position or for more information about COPE Health Solutions, visit us