Revenue Cycle Analyst

Revenue Success Analyst:

This job description outlines a role responsible for overseeing a customer's RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met.

About the Role:

The ideal candidate should have advanced RCM knowledge, problem-solving abilities, and experience in resolving complex customer issues. They will collaborate with teams, lead billing operations, and report monthly performance.

Responsibilities:

• Oversee a customer's RCMS contract

• Ensure the smooth functioning of the revenue cycle across multiple business accounts

• Ensure key performance indicators (KPIs) are met

• Collaborate with teams

• Lead billing operations

• Report monthly performance

• Responsible for providing oversite of a customer's RCMS contract.

• They should have the ability to address multiple Markets of business accounts.

• They will ensure the revenue cycle is processing appropriately and KPIs are within expected parameters.

Scope of Work

• Exhibits advanced RCM knowledge.

• Posses wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer business requirements. 

• Provides solutions to issues in creative and effective ways. Understands the interrelationships of different EHR functionality and impacts. 

• Complexity & Problem SolvingTakes on and/or serves as advisor on complex customer issue analysis that requires evaluation of identifiable factors.

• Devises solutions based on limited information and precedent and adapts existing approaches to resolve issues.

• Uses advanced knowledge to evaluation, judgment, and interpretation to select right course of action.

• Assess agencies billing requirements, EDI files, and other RCM process, seek collaborative solutions, and prepare and present recommendations.

• Resolves concerns with team members with minimal support from leadership to ensure a productive revenue cycle.

• Collaboration & InteractionLeading an identified effort of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations.

• Excellent written and oral communication skills.

• Ability to think quickly and logically to ensure solutions identified.

• Strong attention to detail and follow-through skills.

Duties and Responsibilities

• Maintain & Coordinate billing operations and support actions with other team members. ]

• Lead efforts in payer and industry research impacting customers' businesses.

• Coordinate with team members to ensure metrics are met for contracts assigned.

• Maintain skills of Senior Billing Specialist; step in and help team members to maintain contractual KPIs.

• Monitor accounts for KPI performance and escalations.

• Creation of Month End Reporting and submission to provider practices.

• Assist in process development 

• Has substantial understanding of medical billing, revenue cycle, and applies knowledge and skills to oversee the customer(s)'s contract(s).

• Is able to identify trends, identify root causes, and design solutions with minimal support from leadership.

Required Skills:

• Advanced RCM knowledge

• Problem-solving abilities

• Experience in resolving complex customer issues

Qualifications:

A Bachelor's degree and 4-6 years of medical billing experience are required, along with excellent Excel skills and the ability to identify trends and design solutions independently.

• This is an onsite position, 5 days/week, in the Vadodara office working the NIGHT SHIFT. Hours are 6:30pm-3:30am IST. Remote applicants will not be considered.