Revenue Cycle Analyst
About The Position
The Revenue Cycle Analyst supports Seattle Children's ability to compliantly collect maximum reimbursement by analyzing and addressing internal and external charge, authorization, billing or payment issues resulting in delayed or denied payment. This role collaborates with all levels of staff in the Revenue Cycle, Contracting, IS and, Business Ops Analytics and Clinical teams. Gathering information using standard analytical tools, as well as information or escalations from leaders and front line staff, payer communications and internal account reviews, the Revenue Cycle Analyst identifies trends where outcomes differ from what is expected, then proactively recommends or initiates countermeasures within their operational team(s).
Requirements
- High school diploma or equivalent experience.
- Minimum three (3) years of relevant revenue cycle workflow experience resulting in technical understanding of CMS/Medicaid regulations and/or commercial payor billing or prior authorization requirements, and ability to accurately interpret related information.
- Experience or demonstrated aptitude with data analysis for the purpose of identifying unwanted variance and implementing change/improvement.
Nice To Haves
- Associates degree or higher, or the equivalent post secondary education and relevant business experience.
- Greater than three (3) years of relevant revenue cycle workflow experience resulting in technical understanding of CMS/Medicaid regulations and/or Commercial Payor billing, referral and/or prior authorization requirements and ability to accurately interpret related information.
- Experience implementing process improvement in healthcare revenue cycle operations.
Responsibilities
- Analyzing and addressing internal and external charge, authorization, billing or payment issues resulting in delayed or denied payment.
- Collaborating with all levels of staff in the Revenue Cycle, Contracting, IS and, Business Ops Analytics and Clinical teams.
- Gathering information using standard analytical tools, as well as information or escalations from leaders and front line staff, payer communications and internal account reviews.
- Identifying trends where outcomes differ from what is expected.
- Proactively recommending or initiating countermeasures within their operational team(s).
Benefits
- medical
- dental
- vision plans
- 403(b)
- life insurance
- paid time off
- tuition reimbursement
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
