Revenue Cycle Analyst - PFS Billing Services

Scripps Health - San Diego, CA

Full-time - Mid Level

San Diego, CA

Hospitals

About the position

The Revenue Cycle Analyst at Scripps Health plays a crucial role in enhancing patient safety and reducing access-related denials by identifying root causes and implementing process improvements. This full-time position involves analyzing various accounts, investigating errors, and collaborating with multiple departments to develop and execute effective solutions. The analyst will also be responsible for monitoring access-related databases and providing training as needed, contributing to the overall efficiency of the healthcare organization.

Responsibilities

• Conduct root cause analysis and process improvement specific to Access.
• Review and investigate errors to determine root causes and develop solutions.
• Collaborate with staff and departments across the enterprise to implement solutions.
• Analyze accounts and reports to prioritize recommendations based on fiscal and volume impact.
• Research accounts and errors utilizing internal and external resources.
• Overturn denied accounts and accurately merge patient records.
• Monitor Access related databases to reduce misuse or redundancy.
• Provide workflow design, statistical analysis, quality reviews, and audits.
• Make recommendations for policy changes based on analysis results.
• Conduct site-specific training as needed.

Requirements

• 3 years of experience in a healthcare or medical office environment.
• Proficient with Microsoft Office applications.
• Excellent mathematical skills and ability to handle money.
• Strong communication and customer service skills.
• Strong organizational and analytical skills with problem-solving abilities.
• Ability to adapt, prioritize, and meet deadlines.
• Knowledge of payer contracts, medical terminology, and billing guidelines.
• Understanding of DRGs, Medical ICD9/ICD10 codes, and CPT/HCPC Codes and Modifiers.

Nice-to-haves

• Experience in admitting/registration practices and processes.
• Report writing ability preferred.

Benefits

• Full-time position with benefits
• Competitive salary range from $30.83 to $45.71 per hour
• Equal opportunity employer with a commitment to diversity and inclusion