Effectively communicate problems, root causes, and proposed solutions to the Analytics team and stakeholders, including presenting data to different levels of leadership
Develop and adhere to a cadence of timely reporting and delivery of business analysis to stakeholders and assist management with tracking issue action plans
Present root cause analysis data findings with conciseness and recommendations following a data story format and guide trainings over excel or analytic functions to billing members
Understand and utilize expertise of the revenue cycle process from claim submission to receipt of payment/write off and pinpoint inefficiencies and suggest process improvements
Build data models and dashboards to support consistent, accurate and timely analysis that supports improving collections and efficiency and automation
Develop a thorough understanding of reporting systems, billing and analytic processes and payor-specific reimbursement and billing requirements and identify trends to resolve denials
Participate and, at times, represent Revenue Cycle in ASP meetings and discussions and develop relationships with revenue cycle vendors to ensure performance and quality
Assist in PAMA reporting for new and existing tests with accuracy and timely delivery and evaluate claim processing outcomes to improve internal cost estimating engine and revenue processing recommendations
Requirements
High school diploma or GED equvalent required
Bachelor’s degree in business, informatics, quantitative field or 3-5 years of revenue cycle/ analytics experience required
Fundamental understanding of revenue cycle principles, the theory of bottlenecks, and use of data models to measure and predict outcomes of processes
Working knowledge of , CPT, HCPCS coding, DSO reduction, accounts receivable, denial resolution, appeals, HIPAA regulations, and EDI claims submission methods
Advanced knowledge of Microsoft Excel (ability to clean, transform and merge data sets; perform complex data analytics) and experience with Business Information data tools, Looker, Xifin and Power BI preferred
Expertise level of data presentation and ability to explain issues to different levels of leadership
Experience building data models and dashboards to support analysis
Experience with PAMA reporting, claim processing outcome evaluation, and vendor performance management
Benefits
Remote work (Remote Job: YES)
Inclusive work environment and equal opportunity employer
Reasonable accommodations for applicants’ and employees’ religious practices and disability needs
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.