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Revenue Cycle Analyst

Company: Mission Neighborhood Health Center
Location: San Francisco
Posted on: January 16, 2022

Job Description:

The Revenue Cycle Analyst is responsible for supporting the revenue cycle functions of Mission Neighborhood Health Center. The Revenue Cycle Analyst position will partner with the billing manager, billing team and other stakeholders across the revenue cycle path to identify and analyze the root causes of user and system issues regarding eligibility verification, provider enrollment, customer service, and billing denials, develop efficient workflows, and implement technology solutions within the revenue cycle's operating systems.

S/he will be well-versed in healthcare revenue cycle positions within registration, scheduling, billing, cash application or denial management, and experienced in the healthcare reimbursement process. Also, in support of the billing manager, work collectively with the finance team to ensure timely accurate financial reporting and financial analyses for the leadership team's effective decision making.

Essential Functions & Responsibilities

The Revenue Cycle Analyst has the following responsibilities and duties:

  • Meets regularly and work with Revenue Cycle team to address reimbursement and data needs while recommending target areas for reimbursement improvement.
  • Reviews, modifies, and recommends changes to policies and procedures to improve Accounts Receivables Days.
  • Performs ongoing trend analysis of payer rejections and denials. Supports the billing manger to perform proactive review of all recommended AR write-offs.
  • Analyzes workflow and operational procedures to identify opportunities for improved reimbursement, develops and implements policies and procedures with leadership to ensure all services/charges are captured, recorded, processed, and billed in an accurate and timely manner.
  • Maintain knowledge and understanding of insurance billing procedures to understand the reason for claims in HOLD and OVERPAID status to ensure resolution and timely payment.
  • With the billing manager gathers and analyzes denial information and identifies commonalities among denial reasons. Based on this data, creates training presentations for clinic leadership for overall reduction in denials and/or process improvements.
  • Educate and communicate revenue cycle/financial information to patients, payers, co-workers, managers, and others as necessary to ensure accurate processes.
  • Assists the billing manager in training new providers and patient services staff.
  • Supports billing department functions including electronic charge capture, payment posting, and accounts follow up as directed by the billing manager.
  • Liaison between revenue cycle operations, IT, finance, and various MNHC departments.
  • Supports the billing manager on monthly and other billing department reporting activities.
  • Supports the billing manager on implementing and monitoring quality assurance programs.
    Qualifications

    The Revenue Cycle Analyst should have the following skills, education and experience:
    • Bachelor's degree from an accredited college or university in healthcare revenue cycle-related concentration, healthcare finance, etc.
    • 3 years healthcare revenue cycle-related experience.
    • Knowledge of health care industry, in particular an understanding of FQHC operations, including governmental payor billing, operating principles, guidelines, and bylaws.
    • Knowledge of revenue cycle processes, payor billing, denials management and reporting.
    • Knowledge of specialized reporting requirements and procedures in the preparation of accounting records and financial statements.
    • Ability to compile and analyze data and prepare summary status reports based on the data utilizing automated systems, databases, spreadsheets, and word processing programs.
    • Strong analytical and problem-solving skills.
    • Exemplary communications skills (active listening, written & verbal).
    • Excellent customer service skills.
    • Utilized EMR/EMP software, preferably NextGen or Epic.
      Who We Are: The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco. We offer primary health care services including adult medicine, pediatrics, behavioral health, family planning, OB/GYN, HIV, homeless services, optometry and dental services. We advocate for health equity and deliver innovative, high quality services responsive to the neighborhoods and diverse communities we serve with a focus on the Latino Spanish-Speaking Communities.

      Benefits
      • Medical Insurance - MNHC pays 90-100% based on plan
      • Dental and Vision Insurance - free to employee
      • Flex Spend Accts for health & dependent care expenses
      • Life Insurance - free basic policy plus voluntary option
      • Vacation - 2 weeks (3 weeks after 5 yrs; 4 weeks after 8 yrs)
      • 12 Paid Holidays plus your birthday and 12 Sick Days each year
      • 40 hours Paid Educational Leave
      • 401k Retirement Savings Plan with Company Contribution

Keywords: Mission Neighborhood Health Center, San Francisco , Revenue Cycle Analyst, Professions , San Francisco, California

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