Sc Revenue Cycle Analyst

*Remote position but must be California resident*

Job Summary: We are seeking an experienced and detail-oriented SC Revenue Cycle Analyst to join our dynamic Revenue Cycle team. The ideal candidate will have a strong background in healthcare Revenue Cycle management, possess advanced analytical skills, and be adept at utilizing data to drive strategic decision-making. The Advanced Revenue Cycle Analyst will play a crucial role in optimizing revenue performance, identifying process improvement opportunities, and ensuring the clients Revenue Cycle management’s health.

Responsibilities:

1. Conduct in-depth analysis of healthcare Revenue Cycle processes, identifying trends, patterns, and areas for improvement.

2. Utilize advanced analytics tools and methodologies to assess the financial performance of the practice and recommend strategies to maximize collection.

3. Provide support in various areas of the Revenue Cycle, including eligibility, authorization, collections, and cash application.

4. Review, analyze and interpret payer contracts, billing guidelines, and state and federal regulations to ensure accurate and timely reimbursement.

5. Stay abreast of industry trends, regulatory changes, and best practices in Revenue Cycle management.

6. Provide insights and recommendations to senior leadership based on data-driven analysis.

7. Conduct regular audits of Revenue Cycle processes to ensure compliance with regulatory requirements and organizational policies.

8. Mentor and educate team members on Revenue Cycle best practices.

9. Act as account manager to clients with a focus on excellent customer service.

10. Discuss personal and financial matters with patients and/or their representatives with compassion and clarity.

11. Ability to work independently and exercise discretion and judgment.

Qualifications:

1. Certification in AAPC, AHIMA, (preferred), advanced knowledge of code data sets to include CPT, HCPCS, and ICD-10, NCCI edits, and Medicare LCD/NCDs.

2. Minimum of 7 years of experience in healthcare Revenue Cycle management, or a medical billing certification plus 4 years of experience.

3. Strong understanding of healthcare billing, coding, and reimbursement processes.

4. Excellent analytical and problem-solving skills.

5. Ability to communicate complex Revenue Cycle concepts to both technical and non-technical stakeholders.

6. Advanced knowledge of Revenue Cycle management workflows.

7. Detail-oriented with a focus on accuracy and data integrity.

8. Knowledge of healthcare regulations, correct coding principes, and compliance requirements.

9. Tech savvy with demonstrated experience with healthcare Revenue Cycle software and technology solutions.

10. Strong interpersonal and collaboration skills.

Benefits included:

• Health
• Dental
• Vision
• Unlimited PTO
• 401k matching
• Flexible Schedule
• Remote work setup

Job Type: Full-time

Pay: From $66,500.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Hybrid work

Application Question(s):

• Do you reside in California?

Work Location: Remote