Epic Reporting Analyst

Thedacare • Neenah, WI

65d

About The Position

The Physician Revenue Cycle Analyst is responsible for creating revenue cycle reports, analyzing data, identifying opportunities to maximize collections, and assisting with the implementation of revenue cycle initiatives that leverage technology and improve revenue cycle performance. The analyst will develop relationships with team members and leaders across the healthcare organization to proactively mitigate reimbursement gaps.

Requirements

• Minimum 5 years of progressive experience in revenue cycle with 3 years specific to physician revenue cycle.
• Strong understanding of billing, payor and reimbursement processes.
• A collaborative and proactive problem-solver with exceptional communication, presentation and interpersonal skills.
• Excellent technical and analytical skills.
• Proven ability to work independently.
• Strong Excel and PowerPoint skills.
• Demonstrates excellent time management with the ability to prioritize and thrive in a fast paced, growth environment.
• Knowledge of healthcare regulations and compliance requirements.
• Required: Experience with Epic practice management system.

Nice To Haves

• Preferred; Bachelor’s degree in healthcare administration, Business, Finance, or a related field.
• Preferred Familiarity with telehealth billing requirements across commercial and government payers.
• Preferred: Experience with reporting tools such as Tableau, Power Bi, Slicer Dicer, etc.

Responsibilities

• Analyze billing, claims, and collections data to identify trends, root causes, and reimbursement opportunities.
• Create reporting tools such as dashboards, payer and revenue cycle scorecards to efficiently and effectively monitor and communicate revenue cycle performance.
• Partner with revenue cycle functional teams to root cause and mitigate denial write offs.
• Create monthly Revenue Cycle KPI reports and partner with operational leaders to drive upstream workflow improvement.
• Create ad hoc revenue cycle reports to support strategic initiatives.
• Monitor charge reconciliation reports and collaborate with operational leaders to ensure charges are captured for services performed.
• Partner with cross-functional departments such as IS, Data Analytics, Managed Care, Finance, and Revenue Integrity to root cause and solve reimbursement gaps.
• Identify and recommend revenue cycle strategic opportunities that optimize revenue cycle performance and support business scalability.
• Audit claims to ensure accurate and compliant billing.
• Assist revenue cycle leaders with the implementation of projects to leverage technology, improve productivity, and reduce defects.
• Maintain a thorough understanding of payer-specific reimbursement policies to assist in the proactive identification of changing requirements to mitigate denials.
• Occasional travel for meetings, conferences and collaboration.
• Other duties as assigned.

Benefits

• Lifestyle Engagement
• e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
• Access & Affordability
• e.g. minimal or zero copays, team member cost sharing premiums, daycare

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees