Associate Revenue Cycle Analyst - Remote

The Associate Revenue Cycle Analyst is responsible for analyzing medical claims that receive non-payment.  Process and actions are put into place to ensure payment resolutions lead to appropriate payments. This position submits and negotiates payment requests and appeals with payers.  This position will develop and deploy a process to submit and monitor independent dispute resolution requests and appeals.

Job Responsibilities:

• Serves as a source of knowledge for the designated revenue cycle function  .
• Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.
• Assist with developing appropriate workflows and tracking for the designated revenue cycle function.
• Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
• Works closely with the vendor operations teams to oversight operations activity that directly impact the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
• Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
• By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
• Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance.
• Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy.
• Develops, manages and monitors successful completion of implementation and project plans.
• Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments.
• Continues to seek new and creative technologies that help identify and guide improvement opportunities that align with overall company success.

Qualifications: 

• Bachelors Degree in business or healthcare related field …