Revenue Cycle Analyst

Bachelor's degree in quantitative field required. Advanced knowledge of Microsoft Excel and experience with data tools (SQL, Tableau, Power BI, Looker). 2+ years of experience in Revenue Cycle, Billing or related experience required. Working knowledge of ICD-10, CPT, and HCPCS coding, DSO reductions, accounts receivable, HIPPA, authorization process, and contracting. Ability to prioritize and manage multiple concurrent tasks. A collaborative and proactive problem-solver with exceptional communication and interpersonal skills with excellent time management.

Perform root cause analysis to identify trends related to denials and rejections, authorization outcomes, and reimbursement issues. Develop a data-driven plan to partner with management in executing reimbursement resolution strategies. Produce monthly KPIs and required month end reporting. Proactively identify reimbursement opportunities. Accurately produce and analyze ad-hoc data requests to stakeholders and management. Confidently identify bottlenecks within the reimbursement process to reduce DSO, decrease accounts receivable, improve success of appeals and records, and increase collections. Assist management and team with tracking action plans to ensure timely collections and timely follow up. Creatively utilize dashboards via established platforms (Tableau/SQL/PowerBI) and advanced excel to visually represent data and statistically determine reimbursement expectations and effectively communicate improvement suggestions to stakeholders. Develop dashboards and standardized reporting utilizing data tools. Identify gaps and areas of improvement in analytics capabilities and work with technical teams and Business Intelligence Analyst to implement enhancements. Assist with PAMA reporting and other state required reporting functions. Develop a thorough understanding of systems, processes and payer-specific reimbursement processes and billing requirements.