Senior Revenue Cycle Analyst

Beth Israel Lahey Health-posted 3 months ago
Full-time • Mid Level
Fargo, ND
5,001-10,000 employees
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When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. 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, and understand the choices involved in complex application configuration.
  • 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; and identify variances, trends, and performance issues.
  • 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.
  • Advanced written and verbal communication skills with the ability to translate complex data into clear and meaningful reports.
  • 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
  • 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)
  • 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.
  • Strong interpersonal, communication, problem solving, and analytical skills
  • Excellent attention to detail with proven ability to work across multiple projects.
  • Implements quality control processes and monitors quality standards.
  • Embraces change and seeks to understand its impact.
  • Ability to identify both patterns and anomalies across multiple data sources.
  • Ability to read, analyze and interpret financial reports.
  • Ability to define problems, collect data, establish facts, draw conclusions, and make sound recommendations.
  • Work requires periods of close attention to work without interruption.
  • Concentrated effort of up to 4 hours without break may be required.
  • Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.
  • No substantial exposure to adverse environmental conditions.
  • NHCW: No patient contact.
  • Close work (paperwork, visual examination)
  • Color vision/perception
  • Visual monotony
  • Visual clarity > 20 feet
  • Visual clarity
  • Master's degree preferred.
  • Certification preferred.
  • Knowledge of CPT, HCPCS, and ICD-10 coding principles preferred.
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