Revenue Cycle Analyst I

McLaren Health Care - Detroit, MI

Full-time

Detroit, MI

Nursing and Residential Care Facilities

About the position

The Revenue Cycle Analyst I plays a crucial role in the management and improvement of the Revenue Cycle within the organization. This position is responsible for a comprehensive review of all aspects of the Revenue Cycle, which includes monitoring systems, developing reports, analyzing revenue data, and providing education to staff. The analyst will identify root causes of issues within the cycle and recommend or design improvements to enhance efficiency and accuracy. The role requires a proactive approach to problem-solving and a commitment to continuous improvement in the revenue cycle processes. In addition to the core responsibilities, the Revenue Cycle Analyst I will be accountable for multiple analyst job assignments within the Central Billing Office (CBO). This includes overseeing at least one Patient Financial Services activity, which may involve reporting and data extraction, analytics, system implementation, software administration, and process improvement. The analyst will also be tasked with monitoring and improving the insurance verification process and point of service collections, ensuring that all necessary information is accurate and timely for billing purposes. The position also involves leading and assisting with the maintenance and updating of enrollment paperwork for Electronic Data Interchange (EDI), Electronic Remittance Advice (ERA), and Electronic Funds Transfer (EFT) applications. The analyst will collaborate with various teams, including CBS operations, payers, and vendors, to gather necessary documentation and information for enrollment programs. This includes compiling and maintaining accurate records for each facility, preparing responses to payer requests, and coordinating with credentialing and contracting teams to complete enrollments for ongoing initiatives.

Responsibilities

• Responsible for more than two (2) Analyst job assignments in the CBO.
• Accountable for at least one Patient Financial Services Activity, including Reporting/Data Extraction, Analytics, System Implementation/Software Administration, Reporting/Tracking, Training/Education, Process Improvement, and System Maintenance.
• Analyze front-end delays and problems related to complete and accurate information needed for timely billing.
• Monitor and improve the insurance verification and point of service collection process.
• Lead and assist with maintaining and updating enrollment paperwork for EDI, ERA, and EFT applications.
• Compile and maintain current supporting documentation and information for each facility, including enrollment/payer setup and bank information.
• Prepare, maintain, and respond to payer requests for accuracy of facilities.
• Coordinate with credentialing and contracting teams to complete enrollments for ongoing initiatives.

Requirements

• Bachelor's degree required or equivalent combination of education and relevant experience may be acceptable.
• One to two years related revenue cycle experience or one to two years consulting in systems or training for data analytics.
• Proven skills in Microsoft Office, specifically Excel and Word, and proficiency with window-based applications and 10 key calculator.

Nice-to-haves

• Working knowledge of CPT, HCPCS, and ICD-10.
• One to two years' experience in hospital financial services or patient service.