Clinic Billing And Revenue Cycle Analyst

Salary Range
$70,000-$75,000
Workdays
Monday -Friday
Work Hours
8:00 am-4:30 pm
About St. Anthony's
Founded in 1950, St. Anthony's is the most comprehensive safety net service center in San Francisco, directly providing food, clothing, medical care, addiction recovery services, access to technology, job training, and other critical resources to the community. Every day we support and are supported by thousands of San Franciscans. Everyone who comes through our doors joins the St. Anthony's family and helps us create a future where all people flourish.
Principal Responsibility
Under the supervision of the Controller, the Clinic Billing and Revenue Cycle Analyst is responsible for managing day-to-day medical billing, working within the Finance Department to ensure billing is accurate, current, and traced and reported. This position also serves as backup to various Finance Department functions, including accounts receivable, accounts payable, and general ledger.
Essential Duties and Responsibilities
Leadership, Administration and Operations
Tracks Clinic revenue deposits to bank accounts on a weekly and monthly basis
Reconciles productivity and Revenue detail to provider activity, calculates encounter per hour, reporting per provider
Coordinates closely with Clinic operational management to identify and resolve discrepancies, works to resolve process productivity issues that are identified
Verifies accuracy of billing data, correcting identified errors
Coordinates with Clinic payors (i.e.. DHCS, Healthy SF, Consortium, etc.) and related consultants to facilitate regular billing, reporting, reconciliation, and support of funder audits
Working with the general ledger accountant, reconciles the Clinic revenue accounts with the Epic subledger information monthly
Reconciles co-payment receipts monthly and acts as liaison to the third-party payment contractor
Oversees the recording and collection of payor invoices, ensuring accurate and prompt processing and payment
Creates as necessary itemized bills, invoices and other billing documents to generate revenue, and work with payors to receive those payments
Participates on various industry work groups as St. Anthony's representative (e.g. OCHIN Epic CFO Work Group, etc.)
Supports preparation of annual Clinic revenue budget
Contacts customers to obtain, verify, and update account information when necessary
Coordinates the insurance billing function of the business office, and oversees the proper application of patient, insurance, and other payments
Performs general bookkeeping work, including accounts receivable and accounts payable
Teamwork, Reporting
Generates regular, detailed revenue and productivity reports in Epic
Establishes and maintains a tracing procedure to track and report revenues for all payor sources from provision through deposit
Manages and reports a monthly accounting of aged Clinic receivables
Creates reports to track daily closeouts of provisions by provider, to trace payor payment discounts, credits and payments, and to determine average number of days outstanding for various services by type of provision and payor
Provides or facilitates accurate reports and analysis on financial data and metrics such as cash forecasting, patient statistical information, and monthly detailed and net revenue reports
Supports preparation of quarterly reporting to St. Anthony's Board Clinic Committee, including maintenance of monthly worksheets and productivity and Revenue tools
Assists Controller and Chief Financial Officer with data analysis, Epic reporting, and preparation of reports to Board of Directors and various Committees
Minimum Qualifications
Experience with OCHIN Epic, including Business Objects, Financial Cubes, Executive Dashboard, and Tableau
Proficient in Microsoft Office, including expert use of Excel and pivot tables
Associates degree in Business or Health Care Administration, or relevant professional experience with a minimum of 2 years' of medical billing experience and HIPAA Privacy knowledge and training
Extensive knowledge of Health Information Management Systems (HIMS), HIPAA Privacy & Security and Health Resources Services Administration (HRSA) regulatory requirements.
Outstanding problem-solving and organizational abilities, and attention to detail
Excellent verbal and written communication skills
Strong ability to protect confidential information, particularly patient data, and act with discretion, tact, and professionalism
Strong analytical, detective, and problem-solving skills
Thorough understanding of policies and procedures used in Clinic accounts receivable and billing
Ability to articulate and document procedures to facilitate creation and maintenance of a "how-to" manual for Clinic billing at St. Anthony's
Bi-lingual in Spanish preferred
St. Anthony's has a diverse workforce, welcoming all ethnicities, faith backgrounds and worldviews. We are also proudly Catholic. Our Franciscan identity is at the core of our mission, namely to uphold the dignity and value of the human person and lift the spirits of those in need to help create a society in which all person's flourish.
People of color, differently abled people, LGBT, and folks with lived experience are strongly encouraged to apply.
St. Anthony's is proud to be an Equal Employment Opportunity Employer. We value diversity of culture, thought, and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws.
St. Anthony's uses E-Verify to validate our new employees' eligibility to work legally in the United States.
Behaviors
Preferred
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivations
Preferred
Self-Starter: Inspired to perform without outside help
Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization%58047475% %%finance%%