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Risk Adjustment Revenue Cycle Analyst
ExactCareClient Service Liaison providing specialized expertise in assessing Medicare revenue cycle for PACE programs. Collaborating closely with financial teams to ensure payments and enhance client relationships.
About the role
Key responsibilities & impact- Completes assessment for assigned panel of PACE programs using CMS returns files and input from all Capstone departments' analytics
- Assess the client's needed action plan based on structured assessments every quarter
- Develops and strengthens Capstone client relationships in the defined assignment panel
- Works with the Capstone project coordinator to ensure successful new client onboarding
- Monitor client needs and recommend additional services and/or improvements to current services
- Responsible for ensuring customer satisfaction by resolving issues quickly and creatively
- Assist the client with navigating and optimizing the use of service offerings and reports
- Provide and/or coordinate additional training and education to the clients via webinar as needed
- Provides support and collaborates with other Capstone teams in relation to the assigned client panel
- Develops and maintains master schedules for all clients in the assigned client panel
- Participates in internal collaboration calls regarding clients in the assigned client panel
- Maintains professional license and certifications (where applicable) and attends training conferences/webinars as necessary
Requirements
What you’ll need- Associate Degree
- Minimum three years of experience in Hierarchical Condition Categories (HCC) or risk adjustment
- Experience with Risk Adjustment Analytics strongly preferred
- Knowledge of or experience in Risk-Adjusted contracting or provider groups
- Knowledge of CMS Medicare revenue cycle in the risk adjustment payment model
- Proficient with MS Word, Excel, and PowerPoint
- Comfortable with learning and becoming an expert on new and proprietary software
- Must be detail-oriented, follow instructions, and work independently with minimal supervision
Benefits
Comp & perks- Medical, dental and vision coverage effective 1st of the month following date of hire
- Flexible spending
- Company-paid life insurance and short-term disability
- Paid Time Off
- Paid holidays
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Risk Adjustment AnalyticsHierarchical Condition CategoriesRisk-Adjusted contractingCMS Medicare revenue cycleDetail-orientedIndependent work
Soft Skills
Customer satisfactionProblem-solvingClient relationship managementCollaborationCommunication
Certifications
Professional license