Revenue Cycle Analyst

Tenet • Detroit, MI

1d

About The Position

Under limited direction and according to established policies and procedures coordinates complex corporate revenue cycle studies. Analyzes data, identifies process issues and opportunities to enhance the number of billable services and reduce back end rejections. Coordinates and performs corporate audits to ensure charges are captured and billed appropriately. Determines impact on overall operations, explains effects, develops responses and solutions and communicates with appropriate personnel. Prepares reports that include analysis and interpretation of data and identifies trends which impact the revenue cycle. Maintains a high level of expertise to assure compliance with all regulatory and agency requirements, laws and statutes. Review, and approve or deny, adjustments, charity, and refunds related to individual patient accounts. Review, and approve or deny, re-classes posted to individual patient accounts. Clear edits and issues presented on QS, Rapid Response, or other sources as appropriate. Provides support during the month-end close process. Provides continuous communication and feedback to business units for process improvement. Edit resolution to ensure timely and accurate billing (DNSP) Perform other assigned duties as assigned.

Requirements

• Associates Degree or equivalent experience.
• Bachelor’s degree preferred in Business Administration, Healthcare Administration, or related area.

Responsibilities

• Coordinates complex corporate revenue cycle studies.
• Analyzes data, identifies process issues and opportunities to enhance the number of billable services and reduce back end rejections.
• Coordinates and performs corporate audits to ensure charges are captured and billed appropriately.
• Determines impact on overall operations, explains effects, develops responses and solutions and communicates with appropriate personnel.
• Prepares reports that include analysis and interpretation of data and identifies trends which impact the revenue cycle.
• Maintains a high level of expertise to assure compliance with all regulatory and agency requirements, laws and statutes.
• Review, and approve or deny, adjustments, charity, and refunds related to individual patient accounts.
• Review, and approve or deny, re-classes posted to individual patient accounts.
• Clear edits and issues presented on QS, Rapid Response, or other sources as appropriate.
• Provides support during the month-end close process.
• Provides continuous communication and feedback to business units for process improvement.
• Edit resolution to ensure timely and accurate billing (DNSP)
• Perform other assigned duties as assigned.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

What This Job Offers

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