Revenue Cycle Analyst

This is a fully remote position, open to applicants in Netherlands, +1 more country.

📋 Description

• Execute revenue cycle management, billing, reimbursement, payer contract administration, and analytical functions to enhance reimbursement, improve collections, minimize denials, and streamline revenue cycle processes.

• Oversee, review, and monitor billing activities related to commercial, government, managed care, client, and patient accounts.

• Address billing exceptions, claim rejections, denials, payment discrepancies, and reimbursement issues.

• Investigate and resolve payer, demographic, coding, eligibility, authorization, and billing concerns.

• Manage aging accounts and unresolved claims to optimize collections and decrease outstanding accounts receivable.

• Submit corrected claims, appeals, adjustments, and rebills as necessary.

• Perform in-depth claims-level analysis and examine denied, underpaid, overpaid, and unresolved claims.

• Evaluate reimbursement outcomes and payment trends across various payers, clients, testing services, and business units.

• Maintain and audit payer master records, reimbursement schedules, fee schedules, and reimbursement tables.

• Analyze payer contracts, reimbursement methodologies, fee schedules, and payment structures.

• Create, maintain, and distribute regular and ad hoc reports on billing, collections, accounts receivable, denial, reimbursement, and contract compliance.

• Extract, validate, analyze, and reconcile data from billing systems, data warehouses, and related applications.

• Develop dashboards, scorecards, KPIs, and management reporting tools to track performance.

• Conduct root-cause analyses and present actionable insights and recommendations to management.

• Identify opportunities for enhancing workflows, billing processes, reimbursement accuracy, reporting capabilities, and operational efficiency.

• Formulate business requirements and process documentation.

• Collaborate with IT, software engineering teams, vendors, and business stakeholders to design, test, validate, and implement system enhancements.

• Engage in user acceptance testing, validation, and deployment activities.

• Support automation and continuous improvement initiatives.

• Provide assistance across Eurofins Transplant Genomics and other Eurofins U.S. Clinical Diagnostic business units.

• Aid in training personnel on billing policies, reimbursement methodologies, reporting tools, and process changes.

• Uphold the confidentiality of patient, client, company, and financial information.

• Undertake additional responsibilities and special projects as assigned.

⛳️ Requirements

• A minimum of 3 to 5 years of experience in healthcare billing, reimbursement, revenue cycle, claims management, or a related field.

• Solid understanding of healthcare billing, laboratory billing, collections, and accounts receivable processes.

• Familiarity with commercial insurance, Medicare, Medicaid, managed care, and other third-party payer reimbursement methodologies.

• Comprehensive understanding of payer contract administration and reimbursement modeling.

• Advanced proficiency in Microsoft Excel, including Pivot Tables, XLOOKUP/VLOOKUP, Power Query, complex formulas, data manipulation, dashboard development, and trend analysis.

• Experience with billing systems, revenue cycle software, and reporting tools.

• Prior laboratory billing experience.

• Experience with XIFIN.

• Familiarity with Ascend Data Warehouse or similar business intelligence platforms.

• Proficient in Power BI, Tableau, SQL, or other reporting and analytics tools.

• Experience in payer contract administration and maintenance of reimbursement schedules.

• Background in supporting multiple business units within a shared-services environment.

• Relevant certifications in revenue cycle, coding, billing, or healthcare finance (CRCR, CPB, CPC, HFMA, or equivalent).

• Proficiency in PC-based software, such as Microsoft Excel, Teams, iPhone, Adobe, and related applications.

• Basic understanding of medical billing concepts.

• Knowledge of HIPAA privacy regulations.

• Familiarity with Availity and eligibility portals along with medical terminology.

• Understanding of payer medical policy guidelines and authorization processes.

• Ability to manage multiple priorities and meet deadlines effectively.

• Capable of working independently as well as collaboratively in a fast-paced setting.

• Willingness to travel as necessary.

• Bilingual experience is an advantage.

🏝️ Benefits

• Comprehensive full-time benefits, including extensive medical coverage, dental, and vision options.

• Life and disability insurance.

• 401(k) plan with company matching.

• Paid vacation and holidays.

• Option for employees to work remotely.