Revenue Cycle Analyst II

Job Description:• Effectively communicate problems, root causes, and proposed solutions to the Analytics team and stakeholders, including presenting data to different levels of leadership• Develop and adhere to a cadence of timely reporting and delivery of business analysis to stakeholders and assist management with tracking issue action plans• Present root cause analysis data findings with conciseness and recommendations following a data story format and guide trainings over excel or analytic functions to billing members• Understand and utilize expertise of the revenue cycle process from claim submission to receipt of payment/write off and pinpoint inefficiencies and suggest process improvements• Build data models and dashboards to support consistent, accurate and timely analysis that supports improving collections and efficiency and automation• Develop a thorough understanding of reporting systems, billing and analytic processes and payor-specific reimbursement and billing requirements and identify trends to resolve denials• Participate and, at times, represent Revenue Cycle in ASP meetings and discussions and develop relationships with revenue cycle vendors to ensure performance and quality• Assist in PAMA reporting for new and existing tests with accuracy and timely delivery and evaluate claim processing outcomes to improve internal bolthires estimating engine and revenue processing recommendationsRequirements:• High school diploma or GED equvalent required• Bachelor’s degree in business, informatics, quantitative field or 3-5 years of revenue cycle/ analytics experience required• Fundamental understanding of revenue cycle principles, the theory of bottlenecks, and use of data models to measure and predict outcomes of processes• Working knowledge of, CPT, HCPCS coding, DSO reduction, accounts receivable, denial resolution, appeals, HIPAA regulations, and EDI claims submission methods• Advanced knowledge of bolthires Excel (ability to clean, transform and merge data sets; perform complex data analytics) and experience with Business Information data tools, Looker, Xifin and Power BI preferred• Expertise level of data presentation and ability to explain issues to different levels of leadership• Experience building data models and dashboards to support analysis• Experience with PAMA reporting, claim processing outcome evaluation, and vendor performance managementBenefits:• Remote work (Remote Job: YES)• Inclusive work environment and equal opportunity employer• Reasonable accommodations for applicants’ and employees’ religious practices and disability needs Apply tot his job