Senior Revenue Cycle Analyst

This is a fully remote position, open to applicants in Minnesota, +1 more state.

📋 Description

• Offer expertise and support to the revenue management department regarding revenue cycle processes and technological solutions.

• Engage in the identification, development, and implementation of revenue cycle processes and technology solutions.

• Work in collaboration with other departments and external vendors to resolve and escalate revenue cycle challenges.

• Aid in process enhancements and evaluations.

• Execute recommended modifications utilizing Children's LEAN methodologies.

• Establish, maintain, and upgrade Children's revenue cycle systems.

⛳️ Requirements

• A Bachelor’s degree or Associate's degree in Healthcare Management, Information Systems, or Business Administration is required.

• 5-8+ years of experience in revenue management within a healthcare system, insurance sector, or government organization.

• Previous experience in system support, requirements gathering, and user acceptance testing.

• Experience in monitoring data imports, performing basic system maintenance, documenting workflows, and coordinating with vendors for maintenance and escalation.

• Capability to create training documentation and conduct training sessions for end users.

• Proficiency in researching patient accounts within the system and replicating outcomes.

• Ability to manage projects related to system rollouts, design and test enhancements, prioritize requests, and escalate issues as needed.

• Strong time management skills with the ability to juggle multiple priorities and manage a heavy workload in a high-pressure environment.

• Detail-oriented with excellent organizational skills and a self-directed work ethic.

• Flexibility to undertake additional tasks as required in a dynamic work environment with evolving needs.

• High-level problem-solving, analytical, and investigative capabilities.

• Quick learner with the ability to meet ongoing deadlines.

• Exceptional customer service skills through both verbal and written communication.

• Familiarity with third-party payer contract terms and reimbursement methodologies, including DRG, APR DRG, APC, EAPC, fee schedules, modifier reductions, and Medicaid in Minnesota and Wisconsin.

• Understanding of healthcare billing system functionalities, encompassing scheduling, registration, point-of-service collection, charge capture, coding, claim submission, payment follow-up, self-pay collection, and agency placement.

• Knowledge of hospital and clinic billing regulations, claim edits, modifiers, authorization and certification stipulations, CCI edits, and Medicare MUE edits.

• Awareness of HIPAA privacy standards and PCI compliance regulations.

• Familiarity with LEAN methodologies and process improvement practices.

• Behaviors aligned with excellent service, performance improvement standards, and organizational values.

• Preferred knowledge of Cerner, GE Centricity Business, and eClinical Works systems.

• Proficient in Microsoft Office applications and Visio.

• No specific license, certification, or registration is required.

• Successful completion of an occupational health assessment, drug screening, background investigation, and U.S. Government Form I-9 employment eligibility verification is mandatory.

🏝️ Benefits

• Medical benefits.

• Dental benefits.

• Vision benefits.

• Retirement benefits.

• Additional fringe benefits.

• Potential shift differentials or premium compensation for night, weekend, or on-call duties.

• Occupational health assessment, drug screening, and background investigation as part of employment offer conditions.

• Equal opportunity employer.