Revenue Site Operation Analyst

Trinity Health•Columbus, OH

19h•Onsite

About The Position

The Revenue Site Operation Analyst collaborates with front office and billing colleagues at assigned site locations to enhance revenue cycle performance. This involves regularly reviewing metrics, conducting root cause analysis, and developing and implementing action plans. The analyst reviews denials related to eligibility, registration, authorizations, and coding, providing feedback to Practice Managers, Supervisors, and Leads. They also provide trended metrics to identify areas of strong performance and those requiring further development. The role includes overseeing and assisting with Registration Charge Review and Claim Edit work queues, and monitoring the Front Office Dashboard for significant variances. The analyst is expected to develop and conduct educational sessions, perform quarterly quality assessments of registration accuracy, and provide training to improve performance. Additionally, they recommend and assist in creating communications for practice colleagues and physicians regarding insurance policy, regulatory changes, and coding updates. The position requires visiting supporting locations, such as Columbus, Ohio, and ensuring all assigned sites and colleagues are supported across all revenue cycle areas.

Requirements

Must possess a comprehensive knowledge of professional billing.
Bachelor’s degree in Healthcare Administration, Business Management, Accounting or a related field, and/or 7 to 10 years of professional billing experience.
Experience/knowledge of electronic practice management systems.

Nice To Haves

MA, MGMA, AAPC or other healthcare certification preferred.
Six Sigma or LEAN certification preferred.
Previous leadership in a related area preferred.

Responsibilities

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics, assessing root cause analysis, and developing/implementing action plans.
Reviews front-end denials (eligibility, registration, and authorizations) for each area and provides feedback to Directors, Practice Managers and Supervisors.
Provides trended metrics to help identify areas that are performing well and areas that need further development/review.
Oversees, assists, and manages Registration Charge Review and Claim Edit work queues.
Reviews Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next.
Develops and conducts general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions.
Conducts quarterly quality assessment of registration accuracy performed by front-end users.
Provides education and training to those not meeting best practice goals.
Provides recommendations for communications and assists in completion of monthly newsletters informing practice colleagues and physicians of insurance policy and regulatory changes as well as changes in CPT, ICD-10 and HCPCS coding.
Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.

Benefits

Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement starting on day one.
RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
Relocation assistance (geographic and position restrictions apply).
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday.
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.