Job Description

General Purpose of Job:

Prepare and analyze key performance indicators within Revenue Cycle. Facilitate process improvement related to Revenue Cycle by analyzing data, interacting with Revenue Cycle staff, and interacting with other departments that impact the Revenue Cycle.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Resolving and troubleshooting charging related errors in various work queues to ensure timely processing of accounts.
• Responsible for identifying charging issues and opportunities within departments, to expedite claims adjudication.
• Assist with analyzing data to identify opportunities for process improvement and help implement the solutions that ensure accurate and compliant charge capture.
• Assists with critical Revenue Cycle projects by collaborating with key stakeholders.
• Liaison for the billing office team members. Answering questions and troubleshoot accounts as needed.
• Subject matter expert for charge entry for providers, team members and leadership.
• Research new service line rules and regulations regarding billing and charging.
• Responsible for understanding of the entire Revenue Cycle and the factors that lead to denials and revenue loss.
• Work closely with Payer Contracting to ensure accurate set up of contract terms in Epic.
• Create and review reimbursement and variance reports to identify and trend discrepancies.
• Assist in preparation of reports to share with payers when discrepancies in reimbursement are identified.
• Prepare daily, weekly, monthly Accounts Receivable reports, denial reports and other reporting of key Revenue Cycle data. Present data to senior management as needed.
• Work with billing leadership (professional and facility) to maximize the use of Epic functionality within Revenue Cycle.
• Identify training opportunities related to Revenue Cycle and help educate as needed.

Job Requirements

General Requirements	* None
Work Experience	* Minimum of 3 years of Healthcare Revenue Cycle / Finance experience
Education	* Bachelor's degree in Business, Healthcare Administration, Science, Economics, Finance or related field. * Master's degree in Business, Healthcare Administration, Science, Economics, Finance or related field preferred
Specialized Knowledge and Skills	* Strong verbal, written and interpersonal communication skills. * Strong organization and time management skills and ability to handle multiple priorities. * Strong critical thinking, analytical and problem solving skills with a focus on supporting process improvements. * Ability to work in a collaborative team environment. * Proficiency with Microsoft Office products, Excel, Word, PowerPoint. * Demonstrated project management skills.