Revenue Cycle Analyst

Mdvip, Inc. Boca Raton , FL 33427

Posted 4 months ago

MDVIP is actively seeking a Revenue Cycle Analyst to join our organization! This position is based out of our corporate office located in Boca Raton, FL. The Revenue Cycle Analyst is responsible for partnering with various stakeholders in identifying, validating, monitoring and reporting financial metrics, operational capabilities and continual process improvements across all areas influencing revenue cycle with a focus on improvements as well as cost reductions. Provides guidance and support on processes across physician locations/sites nationally; creates metric definition, analysis, monitoring, policies, documentation as well as root cause analysis, and best practices. Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences.

Responsibilities:

  • Provides all RCM reporting and trending analytics to internal departments as related to their specific needs, request or KPI's.

  • Evaluates Billing Partner effectiveness, ensuring all service metrics are identified and adhered to, based on the agreement. Reports findings to Executive Review committee and provides recommendations to improve partnership

  • Responds to and works with Billing Partner on varied inquiries received from leadership, physicians and clinical departments concerning billing and accounts receivable activity.

  • Provides guidance and support on processes across, creates metric definitions, analysis, monitoring, documentation, as well as, root cause analysis and best practices.

  • Researches and analyzes healthcare information to be able to conduct physician or staff training regarding revenue cycle best practices, operations, and healthcare trends.

  • Works directly with regulatory compliance vendor and acts as liaison when needed.

Job Requirements

Education/Experience/Knowledge:

Bachelor's degree (B.A.) from four-year college or university and at least 5 years related healthcare industry experience, with a minimum 3 years direct revenue cycle experience; or equivalent combination of education and experience where two years related experience equals one year of schooling.

Required Skills and Experience:

  • Related and proven hands-on experience as an administrator in a similar role focused on revenue cycle management.

  • Strong understanding of revenue cycle management processes; end-to-end revenue management and controls.

  • Experience utilizing EMR billing system applications, including dashboard / checklist modules. Specific experience in EPIC or athena highly desirable.

  • Additional areas of demonstrated skills include Operations Management, Financial Analysis, Medicaid & Medicare Billing, and Project Management are highly desirable.

  • Demonstrated medical billing and coding experience or knowledge preferred.

  • Advanced Microsoft Suite (360, Power Point, Excel, Word, SharePoint) courses or certifications a plus. Strong understanding of financial and accounting principles a plus. SAS, SQL, or VBA knowledge a plus.

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