Sr Revenue Cycle Analyst

Children's Minnesota • MN and WI Remote, MN

2d

About The Position

The Senior Revenue Cycle Analyst supports the revenue management department as a knowledge expert on revenue cycle processes and technology solutions. The role participates in identifying, developing, and executing revenue cycle processes and technology solutions, and collaborates with other departments and external vendors to solve problems and escalate issues. The Analyst assists with process improvements and reviews, implementing recommended changes using Children’s LEAN methodologies. The position is also responsible for setup, maintenance, and upgrades of Children’s revenue cycle systems.

Requirements

• Bachelor’s degree or associate degree in Healthcare Management, Information Systems, or Business Administration.
• 5–8+ years of experience working in revenue management within a healthcare system, insurance industry, or government organization.
• Experience supporting systems, gathering requirements, and conducting user acceptance testing.
• Knowledge of third-party payer contract terms and reimbursement methodologies, including DRG, APR DRG, APC, EAPC, fee schedules, modifier reductions, and Minnesota and Wisconsin Medicaid.
• Knowledge of healthcare billing system functions, including scheduling, registration, point-of-service collection, charge capture, coding, claim submission, payment follow-up, self-pay collection, and agency placement.
• Knowledge of hospital and clinic billing rules, claim edits, modifier use, authorization and certification requirements, CCI edits, and Medicare MUE edits.
• Knowledge of HIPAA privacy standards and PCI compliance regulations.
• Knowledge of LEAN methodologies and process improvement techniques.
• Strong time management skills and ability to manage multiple priorities and a heavy workload in a high-stress atmosphere.
• Detail-oriented, well organized, and able to work independently.
• Flexibility to perform other tasks as needed in an active environment with changing work needs.
• High-level problem-solving, analytical, and investigative skills.
• Ability to learn quickly and meet continuous timelines.
• Excellent oral and written communication and customer service skills.
• Demonstrates behaviors consistent with excellent service and organizational performance standards and values, including efficiency, financial responsibility, safety, partnership, service, teamwork, compassion, integrity, trust, and respect.
• Proficiency in Microsoft Office products and Visio.

Nice To Haves

• System knowledge of Cerner, GE Centricity Business, and eClinical Works.

Responsibilities

• Support the revenue management department as a subject matter expert on revenue cycle processes and technology solutions.
• Participate in identifying, developing, and executing revenue cycle processes and technology solutions.
• Collaborate with other departments and external vendors to solve problems and escalate revenue cycle issues.
• Assist with process improvements and process reviews, implementing recommended changes using LEAN methodologies.
• Set up, maintain, and upgrade revenue cycle systems.
• Gather requirements, support systems, monitor data imports, perform basic system maintenance, document workflows, and coordinate vendor maintenance and escalations.
• Develop training documentation and train end users.
• Research patient accounts in the system and recreate outcomes.
• Project manage system rollouts, design and test enhancements, prioritize requests, and escalate issues.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• Retirement benefits
• Other fringe benefits
• Shift differentials or premium pay may be available for positions requiring night, weekend, or on-call work.

What This Job Offers

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