Revenue Cycle Analyst I

Description

Summary:

The Revenue Cycle Analyst I, with a high degree of autonomy, will organize and coordinate denial data collection and analysis in order to ensure departmental effectiveness. 

Responsibilities:

1. Supports the daily operations of the department including, working effectively with multiple levels of staff to strategically problem solve, educate, and support the needs of the department.
2. Runs and saves reports daily/weekly/monthly and sources them to the level II analyst for complex statistical reporting and modeling.
3. Ability to utilize assigned Excel VBA macros and templates to complete allocated job tasks
4. Meets the information, reporting, and analytic needs required to drive the departmental performance priorities.
5. Routinely analyze departmental workflows identifying opportunities, present findings and recommendations for new business strategies or operational processes and measure outcomes monitoring baseline improvements. [Process]
6. Proficiency in mathematics with the skill to translate complex mathematical information into understandable reports and mitigate contractual disputes and financial losses.
7. Establish and maintain appropriate compliant tracking and monitoring systems for contract management and audits.
8. Maintain high standards of data integrity and quality throughout the department's data collection-to-reporting pipeline; support in implementation of new methodology, tools, and processes. [Denial Data]
9. Applies high level problem-solving skills to perform root cause analysis on the AR reports and exercise sound judgment and experience to make recommendations for correcting underlying issues. [AR Data
10. .Performs other duties as assigned.
11. Maintain and Model Nuvance Health Values.
12. Demonstrates regular, reliable and predictable attendance.

Other Information:

• Bachelor's Degree, with a minimum of 3 years job related experience.
• Knowledge of common medical terminology and insurance plan concepts
• Excellent written and verbal communication skills
• Time management skills with the ability to multi-task
• Attention to detail and problem-solving skills
• Must be able to work independently, problem solve, manage stress, and prioritize work
• Ability to form positive, relationships with hospital staff, providers, patients and families
• Adaptive spirit and growth-oriented mindset

Working Conditions:

Manual: Some manual skills/motor coord & finger dexterity

Occupational: Little or no potential for occupational risk

Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment: Generally pleasant working conditions

Company: Nuvance Health

Org Unit: 1785

Department: Patient Accounting

Exempt: Yes

Salary Range: $28.78 - $53.45 Hourly