RCM Analyst II

Cleveland Clinic•Cleveland, OH

38d•$21 - $32•Remote

About The Position

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Revenue Cycle Management (RCM) Analyst II, you will provide essential operational information to support decision-making within the Revenue Cycle by collecting, analyzing and evaluating data related to resources, services, systems and procedures to ensure efficiency, effectiveness and compliance. You will also contribute to workflow optimization by compiling data, reviewing the Medicaid eligibility process, performing quality control on itemized statement requests provided to outside counsel and auditing Medicaid workflows, while keeping leadership informed of vendor performance and gaining exposure to other areas of accounts receivable such as accident insurance billing. In this role, you will be supporting Cleveland Clinic's mission and vision through the accurate analysis of financial documentation provided to patients and their attorneys, safeguarding both accuracy and patient safety. This position offers a unique opportunity distinguished by the breadth of responsibilities available at a world-class healthcare institution, driving high performance and supporting patients in need of high-quality care. A caregiver in this role works remotely from 8:00 a.m. -- 5:00 p.m.

Requirements

High School Diploma or GED and three years of Accounting, Revenue Cycle Management, Finance, Healthcare or related experience
OR a Bachelor's Degree
Proficient in Microsoft Office and Excel, PowerPoint
Ability to meet various deadlines for reports
Passion for quality analysis
Critical thinking skills to identify issues proactively and communicate them clearly to leadership

Nice To Haves

Bachelor's Degree
Background with qualify assurance auditing
Proficient in Epic Resolute, Excel and PowerPoint
Experience with EPIC, SQL and SAS/Snowflake Database reporting
Ability to work independently with a high level of accuracy in auditing and data compilation tasks

Responsibilities

Provide operational information to facilitate Revenue Cycle Management decision making.
Assist department and leadership in obtaining information from various financial, clinical and operational systems and data sources.
Process department specific operational processes to ensure accurate and timely outcomes.
Conduct analysis and evaluation of current and proposed complex operational unit services and performance.
Identify programs/service strengths, weaknesses and recommend strategic process changes.
Serve as technical resource in the analysis and evaluation of the operational and administrative units as related to departmental resources, services, systems and programs.
Interpret and present data analysis results including explanation of techniques used, assumptions made and summary of results providing timely response to customer requests.
Establish and maintain knowledge and documentation of some analysis/data sources within the department.
Serve as quality control for itemized statement requests that are provided to outside counsel, along with various auditing of Medicaid Eligibility workflows.
Ensure vendor interaction with FL OB, ERSD and IP accounts, audit of contact attempts, and complete visual management slides.
Assist in monitoring Patient Financial Experience processes as operations evolves to account for the Flywire Patient Experience and ensure the SP AR resolves as expected.