Mclaren Health Care Detroit , MI 48222
Posted 1 week ago
Position Summary:
The Revenue Cycle Analyst I is responsible for the review, education, maintenance, reporting and improvement of all aspects of the Revenue Cycle. This includes the monitoring of Revenue Cycle systems, development of reports and data sets, analyzing revenue, provide education, identify root causes and recommend/design improvements.
The Revenue Cycle Analyst I will report directly to Process Improvement.
Essential Functions and Responsibilities:
1.Responsible for more than two (2) Analyst job assignments in the CBO
2.Accountable for at least one Patient Financial Services Activity:
Reporting/Data Extraction
Analytics
System Implementation/Software Administration
Reporting/ Tracking
Training/Education
Process Improvement
System Maintenance
3.Analyze front-end delays and problems related to complete and accurate information needed for timely billing.
4.Monitor and improve the insurance verification and point of service collection process.
ENROLLMENT
Leads and assists with maintaining and updating enrollment paperwork for EDI, ERA and EFT applications to support ongoing projects. Works in collaboration with CBS operations, payers and vendors to obtain supporting documentation and information required for related enrollment programs.
Compile and maintain current supporting documentation and information for each facility (hospital, urgent care center, rural health clinic, etc.). Including but not limited to enrollment/payer set up, bank information, provider-based and RHC locations, contacts, etc.
Prepare, maintain, and respond to payer requests for accuracy of facilities (hospitals, urgent care center, rural health facilities, etc.) Obtains, maintains, and monitors remittance and claims reports to identify gaps in enrollment processes
Coordinates with credentialing and contracting teams to complete enrollments for ongoing initiatives i.e. RHC implementation
Minimum:
Bachelor's degree required or equivalent combination of education and relevant experience may be acceptable
One to two years related revenue cycle experience or one to two years consulting in systems or training for data analytics
Proven skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculator with high level of quality outcomes
Preferred:
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Additional Information
Schedule: Full-time
Requisition ID: 24004499
Daily Work Times: 7-5:30
Hours Per Pay Period: 80
On Call: No
Weekends: Yes
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
Mclaren Health Care