Summary of Responsibilities:
The HB & PB Revenue Cycle Performance Analyst is responsible for analyzing and improving the efficiency of the revenue cycle process. This role involves assessing data, identifying areas for improvement, and implementing strategies to enhance revenue generation and operational effectiveness. This includes all entities of oversight under the umbrella of the client’s Health Network .
Review, Analyze, Report and Trend all related revenue
Essential Duties and Responsibilities:
- Analyze revenue cycle data to identify trends, issues, and opportunities for improvement.
- Develop and monitor key performance indicators (KPIs) related to revenue cycle performance.
- Analyze dashboards, Work Queues, Collections, allowances , denials for patterns, trends and corrective actions.
- Prepare reports and presentations for senior management on revenue cycle metrics and performance.
- Collaborate with finance, billing, and coding teams to streamline processes and resolve issues.
- Conduct regular review to ensure compliance with regulations and internal policies.
- Recommend and implement process improvements to enhance efficiency and reduce revenue leakage.
- Provide training and support to staff on best practices and new processes.
- Stay updated on industry trends and changes in regulations affecting revenue cycle management.
- Develops and maintains current departmental manuals, where applicable
- Reviews aged trial balances. Ensures accounts on the aged trial balance reports are handled in an efficient and
- Communicates patient-related information to appropriate departments, as necessary.
- Ensures compliance with applicable law and regulatory standards. Keeps abreast of federal, state, and county
- rules and regulations pertaining to collections.
- Manages the efficient use of the department budget
- Performs other incidental and related duties as required and assigned.
Education and Work Experience:
- Bachelor’s degree in finance, healthcare administration, or a related field (Master’s degree preferred).
- Minimum of Seven (7) years’ experience in Hospital patient access services including three (3) years supervisory experience.
- Relevant certification (e.g., Certified Revenue Cycle Representative - CRCR) is a plus.
- Strong analytical skills and proficiency in data analysis tools and software.
- Experience with revenue cycle management, medical billing, and coding is preferred.
- Excellent communication skills and the ability to work collaboratively with various departments.
- Detail-oriented with strong problem-solving abilities
Skills and Knowledge:
- Advanced knowledge of related hardware/software and hospital registration/billing systems, required
- Proficient in Epic application
- Excellent written and oral communication skills.
- Knowledge of medical terminology - CPT and ICD
- Computer literacy
- Ability to work independently on assigned tasks as well as to accept directions on
- given assignments.
- Knowledge of billing guidelines.
- Ability to interact harmoniously with co-workers in all departments of the company.
- Professional appearance.
- Able to multitask.
Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The work requires the following activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed primarily indoors.
- The employee must occasionally lift and/or move up to 25 pounds.
