Senior Revenue Cycle Analyst

Beth Israel Lahey Health-posted 3 months ago
Full-time • Mid Level
Woburn, MA
Hospitals
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Under the direction of the Harvard Medical Faculty Physicians (HMFP) at BIDMC Director of Strategic Financial Planning Analytics, the Revenue Cycle Analyst will be responsible for improving revenue cycle workflow, efficiency, accuracy, reimbursement, and overall revenue control through operational and system enhancements and/or modifications. In addition, the RCA will identify issues, trends, and provide solutions as well as develop an environment of customer service, continued learning and increased communication within revenue cycle and between departments.

  • Provides in depth knowledge and determines best Epic system build options and functionality that will help improve revenue cycle operational workflows and system usage.
  • Collects and reports information to Revenue Cycle Leadership regarding potential system enhancement needs and system breaks/fix issues.
  • Analyzes complex revenue cycle data to identify trends, outliers, key drivers, and provide analysis.
  • Develop, trend, and report monthly and annual statistical reporting dashboard to coincide with departmental and organizational KPIs (Key Performance Indicator).
  • Work collaboratively with HMFP enterprise revenue cycle team on improvement initiatives to maximize revenue via analyzing RCM metrics, KPIs, and standardized service level agreements (SLAs) against budget, targets, and benchmarks.
  • Provide reporting and analytics support for RCM audits, tracking, trending, and monitoring functions.
  • Uses various software applications to assemble, manipulate and/or format complex data.
  • Maintain data models and produce both standard and ad-hoc reports.
  • Participate in enterprise revenue cycle management and department meetings and provide reporting and analytics updates as needed.
  • Demonstrate collaboration skills to create productive partnerships with clients.
  • Actively participate in cross-functional groups to solve problems across projects.
  • Other tasks and work as assigned.
  • Bachelor's degree in Business / Finance / Accounting or Healthcare Administration; Master's degree preferred.
  • 5-8 years of experience working in revenue cycle mandatory.
  • Ability to spearhead independent projects, utilizing critical thinking to achieve significant results with minimal oversight.
  • Experience working with Epic software including: Cubes, Slicer Dicer, Dashboards, Workbench Reports, and Clarity Reports mandatory.
  • Proficiency in Epic Professional Billing (PB); Certification preferred.
  • Comprehensive working knowledge of revenue cycle analytics, medical billing practices, billing software, healthcare insurance, and CMS regulations.
  • Strong understanding of professional billing (PB) end-to-end revenue cycle management processes and functions.
  • Ability to effectively communicate and present findings.
  • Ability to transform raw data into actionable information, facilitating informed decision-making.
  • Advanced skills in Microsoft applications: Outlook, Excel, Word, and Teams.
  • Knowledge of CPT, HCPCS, and ICD-10 coding principles preferred.
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