Revenue Cycle Policy Analyst (Staff Consultant II)
T
Tria FederalHealthcare Revenue Cycle
100% Remote within the United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 5–7 years
- Required Skills
- Microsoft Office
Requirements
- 5–7 years of healthcare revenue cycle policy, compliance, or operations experience in a federal or commercial setting.
- Strong knowledge of the healthcare revenue cycle (charge capture, billing, collections, denials, and compliance).
- Experience drafting SOPs, workflows, RACI matrices, and compliance documentation.
- Experience documenting processes and internal controls.
- Knowledge of healthcare compliance and regulatory requirements, including federal mandates and payer rules.
- Knowledge of federal and DoD policy development (DoDDs/DoDIs, DHA-PIs/DHA-AIs).
- Strong analytical and writing skills.
- Ability to manage competing priorities and produce high-quality work products under tight timeframes.
- Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Visio).
- Bachelor's degree required; Master's degree preferred.
Responsibilities
- Support enterprise SOP development: draft and maintain standard operating procedures, job aids, and workflows for back-end revenue cycle operations, spanning billing and follow-up.
- Draft workflows and process maps, documenting current-state and future-state processes across the cost-recovery programs and federal billing functions.
- Develop RACI matrices, defining roles, responsibilities, and accountability across enterprise, shared-service, and MTF levels.
- Prepare compliance documentation, drafting compliance artifacts, checklists, and supporting materials for review.
- Support internal control development, documenting control points and contributing to updates to the UBO compliance checklist.
- Support policy updates, assisting in drafting and reconciling DHA UBO policy, guidance, and business rules.
- Conduct policy and compliance research, supporting current-state assessments, gap analysis, and recommendations.
- Maintain policy documentation, keeping SOPs, workflows, RACI matrices, and compliance documents current.
- Support stakeholder review, coordinating policy review cycles with DHA UBO leadership and MTF stakeholders.
- Adhere to project plans, processes, and timelines, delivering high-quality policy work products.
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