Revenue Cycle Analyst

Tegria•Minnesota, MN

2d•$90,000 - $100,000•Remote

About The Position

As a Revenue Cycle Analyst, your work at Tegria will focus on providing our customers with revenue cycle assessment, systemic issue identification and system/process solutions. You assess customer’s revenue cycle integrity and workflow processes to improve efficiency and achieve revenue objectives. You research systemic billing and reimbursement issues, develop approaches to resolve systemic issues, and develop non-standard reports. Occasionally, you assist in processing and troubleshooting claims, working with hospital or medical records staff to ensure that correct diagnosis/procedures are reported, and running standard revenue cycle reports. You will work under general direction as you develop proficiency within your discipline, conducting work of increasing complexity and contributing to team objectives and outcomes.

Requirements

Bachelor’s degree in Health Information Management, Accounting, Math, Business or related fields; or equivalent combination of education and experience
2+ years revenue cycle analysis or related experience
Experience mentoring less experienced team members
Solid knowledge of third-party billing requirements and HIPAA 837/835 electronic language
Good working knowledge of medical terminology, billing guidelines, HIPAA and compliance
W2 project-based consultants will be expected to provide a computing device that adheres to industry standards and security best practices to use in satisfying the Project Services on behalf of Tegria

Nice To Haves

Maintain high standards for the quality of their own and others’ work
Thrive under the pressure of time constraints
Approach their work with a service mentality
Autonomous and have excellent follow-through
Open to feedback and a mindset to grow skills

Responsibilities

Participating in customer revenue cycle assessments, identifying issues or opportunities for improvement, and designing solutions.
Researching root causes of designated initiatives that prevent timely billing and reimbursement and assembling and analyzing the data and presenting the findings in a clear manner.
Working collaboratively with the customer’s Revenue Cycle departments to communicate analytical findings and assist in formulating and implementing of recommended revenue cycle improvements.
Analyzing billing data and performing trend analysis to improve billing.
Developing non-standard reports to assist in identifying trends and systemic issues.
Creating training documentation and providing software and process training to internal employees and customer staff members on the MEDITECH Accounts Receivable module and any third-party vendor clearinghouse.
Assisting in processing and troubleshooting medical claims to third-party insurance carriers either electronically or by hard copy billing.
Working with hospital or medical records staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
Keeping updated on all billing and benefit changes for third-party insurance carriers.
Preparing customer status reports for productivity, return on investment, and revenue and usage on a weekly or as needed basis.
Acting as Lead and subject matter expert in claims processing, collections, Medicare, Medicaid, MEDITECH, and third-party claims submission vendors.
Performing special projects or other duties as assigned.
Consulting as needed with more senior team members on work approach and work product
Contributing to team objectives and outcomes
Developing your skill set and increasing your proficiency in your discipline
Performs other generally related duties as assigned.