RCM Strategic Ops Analyst

Providence Anesthesiology Associates PA • Charlotte, NC

51d • Hybrid

About The Position

The RCM Strategic Ops Analyst plays a vital role in supporting Revenue Cycle Management (RCM) Operations through development and review of reporting and analytics focused on success metrics for RCM. This position uses data analytics coupled with a deep understanding of AR to identify AR trends and create tools that drive decision-making and operational efficiency. The RCM Strategic Ops Analyst will play a pivotal role in designing, running and monitoring reports and developing standard reporting packages that focus on tracking and addressing performance issues through KPI monitoring with a goal of accelerating the enablement of strategic decision making by operations managers. This role will also be responsible for management of multidisciplinary project implementations within the RCM department. A background in Revenue Cycle Management and data analysis within the healthcare sector is strongly preferred. The ideal candidate for this role is someone who has a blend between technical expertise, business acumen, and project management. Further, this person is a proactive and strategic thinker.

Requirements

• Education: Bachelor’s degree in related field is required.
• Experience: A minimum of three (3) years of experience in data analysis within healthcare revenue cycle management is strongly preferred, with knowledge of anesthesia revenue cycle management being a plus. An equivalent combination of education and relevant work experience may also be considered.
• License/Certification: N/A
• Language Skills: Proven ability to communicate effectively, both orally and in writing, with internal and external audiences. Capable of translating and presenting business requirements and reporting outputs into non-technical, understandable terms for various departments.
• Computer Skills: Proficiency with Excel, Word, PowerPoint, and data visualization tools such as Power Pivot, Power Query, and Power BI.
• Reasoning Ability: Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Strong problem-solving, quantitative, and analytical abilities. Strong ability to plan and manage numerous processes, people, and projects simultaneously.

Nice To Haves

• A background in Revenue Cycle Management and data analysis within the healthcare sector is strongly preferred.
• knowledge of anesthesia revenue cycle management being a plus.

Responsibilities

• Design and monitor standard reporting packages and KPIs to support Revenue Cycle Management (RCM).
• Partner with RCM Operations Managers to identify reporting and analysis gaps with the goal of implementing solutions for process and revenue improvement.
• Manage assigned multidisciplinary RCM projects that are aimed at process and/or performance improvement
• Lead initiatives to implement workflows associated with identified process enhancements at the team or department level
• Assist with billing revenue projections for existing and new business opportunities and income guarantee reconciliations
• Proactively identify areas of revenue opportunity and bring forth solution ideas for discussion with leadership
• Work closely with the BI team to determine ideal reporting solutions that meet needs of RCM leadership
• Analyze revenue cycle data (billing, cash applications, account receivable, etc.,) to provide insights on trends and recommend solutions based on what is observed in the data.
• Provide guidance and support to reduce denials and adjustments by analyzing data, identifying root causes, developing solutions, and implementing action plans.
• Maintain and update current KPI scorecards for revenue cycle teams and provide suggestions on identified improvement areas to the Managers and AVP
• Manage and support analysis and reporting on trends including (but not limited to):
• Accounts Receivable (AR)
• Facility and profit center performance
• Payer behavior and denials
• Inventory Aging
• Assist in monitoring ROI of various vendor partners to identify any opportunity for cost reduction
• Create and deliver ad hoc reports to internal stakeholders as needed.
• Presents and explains information in an accessible way to RCM team members and Physician Partners.
• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility.

Benefits

• We provide competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees