Position: Revenue Cycle Analyst
Reports To: Controller
Schedule: Full-time days
Position Location/Department: Accounting
Job Summary:
We are looking to hire a highly efficient Revenue Cycle Analyst that monitors, researches, organizes, and analyzes data from various sources related to the revenue cycle. This position shall be responsible for the day-to-day operational management of the reimbursement department. Supervises the preparation of Medicare, Medicaid, Blue Cross, and related reimbursement studies and cost reports on an interim and fiscal year basis. Responsible for the proper compliance with all provider regulations and laws governing the preparation of cost reports and other such submissions. Supervises the necessary calculations to properly record the contractual adjustments for Medicare, Medicaid, Managed Care Payers, and any other payers assigned; or the review of calculations performed by others. Review or calculation of appropriate bad debt/charity reserve amount (allowance for bad debt). Responsible for the reasonable explanation of deduction variances as well as net revenue variance from budgeted levels on a monthly basis. The position is also responsible for the calculation of the deduction from revenue budget for the hospital. Review reimbursement related regulatory changes and assists Senior Management in understanding and evaluating the impact of these changes. Communicates reimbursement related information to appropriate individuals throughout the organization and understands the concept of a full service reimbursement department. Assists in the development of goals and strategies for billing and accounts receivables procedures and practices. This position will be responsible for the review, updating and subsequent implementation of the official Charge Master.
Essential Duties and Responsibilities:
- Implementing a system to ensure that accurate billing information is entered into the billing system.
- Responsible for account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
- Reviewing financial hardship applications.
- Efficiently managing patient complaints in respect of billing and collections.
- Planning and structuring the department workflow and staffing.
- Correctly coding diagnoses and procedures.
