Central Maine Healthcare-posted 14 days ago
Full-time • Mid Level
Lewiston, ME
1,001-5,000 employees

Central Maine Healthcare is seeking a Full Time, Lead Analyst to join our Revenue Cycle Ops team! Position Summary: Responsible for informing and supporting the strategic and operational leadership of the Revenue Cycle department. Contributes to the financial strength, compliance and overall performance of Revenue Cycle operations by providing information, analytics, reports, and best practice knowledge for the Revenue Cycle functions, including hospital and physician (provider) services. Provides assistance to the Senior Director Revenue Cycle by providing support and knowledge to the Director of Patient Access, the Director of Health Information Management and the Director of Patient Financial Services to ensure collaboration and alignment of the Revenue Cycle areas and workgroups. Serves in a key role to assist in monitoring and facilitating improvement in the overall quality, timeliness, completeness, and accuracy of Revenue Cycle processes (such as financial clearance, pre-registration, point of service collections, patient contact center operations, etc.). Data integrity, tracking issues, reporting of performance and impacts of improvement initiatives and standard KPIs is required. Ensures the effectiveness of Revenue Cycle policy, practices and technology platforms. The position will provide support to the Senior Director, Strategic Teams and Workgroups in the overall direction, coordination, issue tracking, goal tracking and evaluation of Revenue Cycle and may be specifically responsible for any of the following: Hospital Check-In ED Check In and Check Out Practice Check In and Check Out Point of Service Collections Technology Requirements Process Design Alignment with all Revenue Cycle Initiatives Staffing Models Alternate Financing Financial Counseling Referrals Process Referral Process Authorizations Price Estimation On-Line Scheduling and Check In Workflow Design Pre-Service Check In Patient Service Contact Center Vendor Management KPI Dashboards and Reports Updating Work plans and Monitoring Tasks and Goals Strategic Design of Revenue Cycle Operations It is critical that this position be highly effective in delivering the services described above and work harmoniously with leaders and staff across the organization. Effectiveness will be measured in terms of measurable results, commitment, staff engagement and customer satisfaction (at all levels).

  • Bachelor’s degree required, or eight (8) years related experience in lieu of, and Five (5) years of experience in Finance or Revenue Cycle.
  • Detailed knowledge of privacy and security regulations, confidentiality/HIPAA, payer registration/authorization requirements, State Charity Care compliance, and MaineCare compliance regulations.
  • Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-9, ICD-10).
  • Expertise with regulations and accreditation standards, knowledge of specific state and federal requirements and standards.
  • Working knowledge of Medical Record, Financial Services and Healthcare Application technology.
  • Demonstrated experience in diagnosing, evaluating and developing corrective actions for problems in operations.
  • Able to effect collaborative alliances and promote teamwork.
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