Revenue Cycle Analyst

HNL Lab Medicine • Allentown, PA

1d • Onsite

About The Position

Supports the organization's charge process and revenue/volume monitoring. ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to, the following: Identify trends, issues, and inefficiencies in revenue cycle operations and recommend improvements to maximize financial performance. Collaborate with billing, coding, and compliance teams to ensure accurate and timely claims submission, payments, and denials management. Investigate and resolve billing discrepancies, claim rejections, and denials to ensure timely payments. Takes the lead on the hospital invoicing process to include routine maintenance and financial reporting. Defines billing codes in the appropriate databases and systems. Assists with the accuracy of billing information in the laboratory’s information systems, databases and printed documents, everywhere the information is contained. Generates key weekly KPI reports for leadership and organizational monitoring. Generates reports to monitor outstanding client AR.

Requirements

• Associate's degree (A. A.) or equivalent from two-year college or technical school or 8 years of finance experience or a combination of education and experience.
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
• Ability to write reports, business correspondence and procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
• Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations and permutations.
• Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
• Proficiency in computer software such as MS Power Point, MS Excel, MS Word; accounting software; inventory software; order processing systems; and database software.

Responsibilities

• Identify trends, issues, and inefficiencies in revenue cycle operations and recommend improvements to maximize financial performance.
• Collaborate with billing, coding, and compliance teams to ensure accurate and timely claims submission, payments, and denials management.
• Investigate and resolve billing discrepancies, claim rejections, and denials to ensure timely payments.
• Takes the lead on the hospital invoicing process to include routine maintenance and financial reporting.
• Defines billing codes in the appropriate databases and systems.
• Assists with the accuracy of billing information in the laboratory’s information systems, databases and printed documents, everywhere the information is contained.
• Generates key weekly KPI reports for leadership and organizational monitoring.
• Generates reports to monitor outstanding client AR.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree