Revenue Cycle Analyst

MDVIP LLC • Boca Raton, FL

1d

About The Position

The Revenue Cycle Administrator plays a key leadership role in supporting revenue cycle processes for practice operations for several physician locations/sites. Plans and works with internal Practice Operations team to organize key revenue cycle functions to maximize cash flow related to accounts receivable for all locations. This includes the management and direct oversight of a partnered billing company to ensure claim processing, timely patient billing, insurance follow up, cash and payment variance management, coding compliance, and provider contract management, including government and non-government payers. Safeguards all PHI and sensitive data, complying with regulations and institutes immediate remediations for all matters presented by auditing team or staff.

Requirements

• Bachelor’s degree and at least 7 years related healthcare industry experience, with a minimum experience level of five years Management of others or vendor management; or equivalent combination of education and experience where two years related experience equals one year of schooling.
• Related and proven hands-on experience as an administrator in a similar role focused on revenue cycle management.
• Strong understanding of revenue cycle management processes; end-to-end revenue management and controls.
• Experience utilizing EMR billing system applications, including dashboard / checklist modules.
• Demonstrated medical billing and coding experience or knowledge.
• Self-starter who is customer centric, detail-oriented, extremely organized, collaborative, and works well under pressure.
• Proficient in Microsoft Office applications.
• Able to learn new software easily.

Nice To Haves

• Additional areas of demonstrated skills include Operations Management, Financial Analysis, Medicaid & Medicare Billing, and Project Management are highly desirable.
• CPC – certified professional coder
• CCS – certified coding specialist
• CCS-P – certified coding specialist – physician-based
• RHIA – registered health information administrator
• RHIT – registered health information technician
• CRCR – certified revenue cycle representative

Responsibilities

• Provides consultative support, advice, and guidance to Practice Operations staff, physicians, and practice staff related to revenue cycle management best practices.
• Identifies revenue cycle problems and implements solutions for improvement.
• Trends data while providing timely reporting and/or metrics to management.
• Prepares and presents pertinent information for approval to the Revenue Cycle Review Committee (RCRC) while setting appropriate expectations and complying with local, state, and federal billing regulations.
• Vendor Liaison: Manages Billing Partner relationship, ensuring all service metrics are identified and adhered to, based on the agreement.
• Practice Operations: Reviews Epic and Athena Reports (ex: Open Encounter Report, work queues and Revenue and Usage report) to identify and work with Physicians and Practices to resolve any claim related issues.
• Operations: Works collaboratively with departmental/interdepartmental stakeholders to develop comprehensive programs.

Benefits

• Competitive compensation: attractive base salary complemented by performance-based incentives for eligible roles.
• Comprehensive benefits: health, dental, vision insurance, and retirement plans.
• Professional development: access to ongoing training and leadership development programs.
• Medical/prescription drug coverage
• Dental coverage
• Vision coverage
• Flexible Spending Account
• Health Savings Account
• Dependent Care Flexible Spending Account
• Basic and Supplemental Life Insurance & Accidental Death and Dismemberment
• Disability Income Protection Plan
• Employee Assistance Program
• 401(k) retirement program
• Vacation, Paid Holidays and Personal time
• Paid Sick and Family and Medical Leave time as required by law.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior