Revenue Cycle Analyst

Omada Health

14h•$79,200 - $103,500•Remote

About The Position

Omada Health is seeking a Revenue Cycle Analyst to execute, document, and continuously improve Omada’s Revenue Cycle Management (RCM) function. The Analyst will be expected to understand Omada’s RCM framework and work with the RCM team in developing effective methods and tools to process data and drive cash collections. You will work directly with both internal and external stakeholders to ensure robust billing and efficient collection processes are in place to support our mission. Your work will ensure that Omada recovers its claims in a timely fashion, our payers are impressed with our service, and our participants can focus on improving their health. This position will be at the forefront of refining the company’s processes and practices to further Omada’s financial growth.

Requirements

Passion for Omada’s mission
1 - 3 years’ experience executing revenue cycle management in a healthcare setting
Knowledge of the US healthcare system, industry terminology (e.g. CPT and ICD-10 diagnosis codes), and best practices
Advanced proficiency in Excel
Excellent written and verbal communication skills and comfort working with both technical and non-technical stakeholders
Ability to juggle both proactive scheduled tasks along with reactive escalations

Nice To Haves

Experience working with or for a healthcare clearinghouse
Understanding of Accounting principles
Knowledge of digital health and/or a startup work environment
Experience in SQL or Tableau

Responsibilities

Assist team on a smooth end-to-end billing process
Assist with any new RCM payer implementations
Assist with communication to Omada’s clearinghouse on new connections and any claims management issues
Participate in cross-functional efforts to increase efficiency and effectiveness of RCM systems and processes
Identify and propose enhancements to workflows based on data, trends, and user feedback
Support testing, validation, and rollout of new or updated RCM processes to ensure accuracy and compliance
Work with payers to integrate with Omada’s unique billing model and educate internal stakeholders
Maintain clear, up-to-date process documentation and standard operating procedures (SOPs) for RCM workflows
Ensure all policies, procedures and initiatives are handled in a HIPAA-compliant fashion
Respond to operational questions across email, Slack, and ticketing tools
Ensure cross-functional teams have the support they need to complete requests
Investigate, document, and follow up on denials and underpayments
Investigate, document, and execute refunds
Assist with achieving team Accounts Receivable and Bad Debt Reserve goals
Perform weekly bank and claim reconciliation
Complete monthly revenue integrity checks
Complete recurring work queues on a monthly basis